Ccclinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CCCLINIC INC

Doing business as

Community Care Clinic

Practice address

141 Health Center Dr Ste B
Boone, NC 28607-6997

Phone

(828) 265-8591

Fax

(828) 268-9963

NPI assigned

Aug 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Catherine King

Title

Executive Director

Phone

(828) 265-8591

Specialties & licenses 1

Addresses

Other names 1

• Community Care Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Bessey Brubaker

  • Family Nurse Practitioner
  • Boone, NC
  • NPI 1104342070
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1376261099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HEALTH CENTER DR STE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076997",
            "telephone_number": "828-265-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HEALTH CENTER DR STE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076997",
            "telephone_number": "828-265-8591",
            "fax_number": "828-268-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCCLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-265-8591"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (The Sanger Clinic)
• Taylor Carrillo, LCSW-A
• Doris M. Carroll, REGISTERED NURSE
• Kimberly E Carter, LPA
• Tandrea Jeanette Carter, PH.D.
• Anna Ceelen, M.A., BCBA, LBA
• Benjamin Anthony Chamberlain
• Mary Ziegler Chambers, PHYSICAL THERAPIST
• Stephen Ross Cherry, M.D.
• Melanie Dawn Childers, LCMHCS

• Primary Care Clinic/Center in Boone, NC
• Providers in Boone, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.