NPIMap

Organization Active NPI

Warren-Vance Community Health Center

  • Community Health Clinic/Center
  • Henderson, NC
National Provider Identifier
1477844298
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
1077723 Issued in NC
Legal business name
WARREN-VANCE COMMUNITY HEALTH CENTER
Practice address
176 S Beckford Dr
Henderson, NC 27536-2584
Phone
(252) 492-2161
Fax
(252) 438-2204
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Michelle Collins Ogle, M.D.
Title
Medical Director
Phone
(252) 492-2161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 1077723 NC Primary

Addresses

Primary practice location

176 S Beckford Dr
Henderson, NC 27536-2584

Mailing address

511 Ruin Creek Rd
105
Henderson, NC 27536-5919
Phone (252) 492-2161

Other names 1

  • Northern Outreach Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Northern Outreach Clinic5 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.

Locations

511 Ruin Creek Rd
Ste 105
Henderson, NC 27536
Phone (252) 492-6127

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1477844298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD",
            "address_2": "105",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-492-2161",
            "fax_number": "252-438-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S BECKFORD DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362584",
            "telephone_number": "252-492-2161",
            "fax_number": "252-438-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN-VANCE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-492-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NC",
            "license": "1077723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Outreach Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.