NPIMap

Organization Active NPI

New Hanover Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
National Provider Identifier
1386590909
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Practice address
917 N 4TH St
Wilmington, NC 28401-3450
Phone
(910) 202-8656
Fax
(910) 202-8680
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Althea Annette Johnson
Title
Ceo
Phone
(910) 202-8623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

917 N 4TH St
Wilmington, NC 28401-3450

Mailing address

917 N 4TH St
Wilmington, NC 28401-3450
Phone (910) 202-8656

Other names 1

  • MedNorth Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416001543 NC Part A Provider - Federally Qualified Health Center (FQHC) 1153220215 Practice locations: Wilmington, NC

Federally qualified health center certification: CCN B61087

Legal name
NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Doing business as
MEDNORTH HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 16, 2026
Last certification
Apr 16, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
917 N 4TH St
Wilmington, NC 28401-3450

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
New Hanover Community Hea5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph a Pino Individual Corporate Director Dec 1, 2018
Stephen Stein Individual Corporate Director Jan 1, 1996
Willie K Guion Individual Corporate Director Jan 1, 2018
Betty Murphy Jacobs Individual Corporate Director Jun 1, 2022
Monica Gene Jones Individual Corporate Director Apr 1, 2025
Sonya M Peele Individual Corporate Director Dec 1, 2022
Althea a Johnson Individual Corporate OfficerCeo Oct 1, 2007
Elveta Denise Smith Individual Corporate Director Jun 1, 2022
Michael Anthony Ballard Individual Corporate Director Nov 1, 2019
Mireya Lupercio Individual Corporate Director Nov 1, 2023
Halee Anika Morris Individual Corporate Director May 1, 2024
Janet Negron Stroughton Individual Corporate Officer Sep 17, 2017
Francine Bondos Individual Operational/Managerial ControlCfo May 2, 2023
Jacqueline Colleen Siers Individual Corporate Director Nov 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1386590909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-202-8656",
            "fax_number": "910-202-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-202-8656",
            "fax_number": "910-202-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-202-8623"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedNorth Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.