Warren Community Health Clinic Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

WARREN COMMUNITY HEALTH CLINIC INC.

Practice address

546 W Ridgeway St
Warrenton, NC 27589-1716

Phone

(252) 257-1904

Fax

(252) 257-1142

NPI assigned

Jun 10, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Mary Jones Somerville, ETC

Title

Executive Director

Phone

(252) 257-1904

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11900/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1578858247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 W RIDGEWAY ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275891716",
            "telephone_number": "252-257-1904",
            "fax_number": "252-257-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W RIDGEWAY ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275891716",
            "telephone_number": "252-257-1904",
            "fax_number": "252-257-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COMMUNITY HEALTH CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-257-1904",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER(PTAN)",
            "identifier": "D901",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Terry
• Stephanie Lynne Thrift
• Pamela Roberson Todd, RPH
• Triumph LLC
• Walgreen Co (Kerr Drug #16150)
• Warren County (Warren County Health Department)
• Warren County (Warren County Health Department)
• Warren County Department of Social Services
• Warren County Schools
• Warren Hills, a Personal Care and Nursing Facility

• Point of Service in Warrenton, NC
• Providers in Warrenton, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.