NPIMap

Organization Active NPI

Blue Ridge Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Clyde, NC
National Provider Identifier
1407200264
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC
Practice address
490 Hospital Dr
Clyde, NC 28721-8026
Phone
(828) 246-6372
Fax
(828) 246-6371
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Tammy R Greenwell
Title
Ceo
Phone
(828) 233-2284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

490 Hospital Dr
Clyde, NC 28721-8026

Mailing address

2579 Chimney Rock Rd
Hendersonville, NC 28792-9181
Phone (828) 233-2201

Other names 1

  • Haywood Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160608001235 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434743 Practice locations: Clyde, NC
O20161213001360 NC Part B Supplier - Clinic/Group Practice 3173434743 Receives reassigned benefits from 157 practitioners
Practice locations: Clyde, NC

Federally qualified health center certification: CCN 341048

Legal name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
HAYWOOD HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 19, 2016
Last certification
Aug 19, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1963 in NC
Enrollment address
490 Hospital Dr
Clyde, NC 28791-8026

Other NPIs with the same Medicare PAC ID 21

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

View all 21

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2110987Haywood Health Center490 Hospital Drive, Clyde, NC 28721Provider-performed microscopyMar 28, 2028

National Provider Directory

National Provider Directory

Locations

490 Hospital Dr
#340B130800
Clyde, NC 28721

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Marilyn W Tatham Individual W-2 Managing EmployeeProvider Enrollment Manager Jan 1, 2020
Tammy Renee Greenwell Individual Corporate DirectorBoard of Directors Aug 28, 2025
W-2 Managing EmployeeAd;Ceo Aug 28, 2025
Kristie a Hannon Individual W-2 Managing EmployeePatient Financial Service Director Jan 1, 2020

Practitioners & affiliated clinicians

Practitioners 184

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

View all 184

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1407200264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 CHIMNEY ROCK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929181",
            "telephone_number": "828-233-2201",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-246-6372",
            "fax_number": "828-246-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-233-2284"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haywood Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haywood Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.