High Country Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Boone, NC
NPI 1588366355 · NPPES record last updated Mar 17, 2023
Key facts
- NPI
- 1588366355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HIGH COUNTRY COMMUNITY HEALTH
- Practice address
- 108 Doctors Dr
Boone, NC 28607-5000 - Phone
- (828) 262-4651
- Fax
- (828) 262-4654
- NPI assigned
- Mar 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Alice Salthouse
- Title
- Ceo
- Phone
- (828) 262-3886
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 7
Practitioners 38
-
Kathleen S Boyd, D.D.S.
-
Halcyon L Inniss, DDS
-
Joan C. Schmitt, DDS,MSD
-
Merritt Vernon Borders, FNP-C
-
Dana Nicole Brown, D.O.
-
Sara Clark, LCSWA
-
Paul Joseph Daoust Jr., L.P.C.
-
English Kinkead Flaherty, MMS, PA-C
-
Theresa Tuckmantel Gibbs, DNP, FNP-BC
-
Rachel Lowman Goossens, FNP-C
-
Alysia Ann Hoover-Thompson, PSYD, CP
-
Jesse Illich, PAS1
-
Isabelle James, ARNP
-
Jennifer Kerley, PMHNP
-
Mary Reagan Kosmatine, LCSWA, MSSW
-
Katie Ruth Langley, PMHNP-BC
-
Giovanni Llibre, MD
-
William McGuire, FNP-BC
-
Thomas E Meek II, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| High Country Community Health |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2017 |
| Burke Dental |
Federally qualified health center | Operational/Managerial Control (100%) | Apr 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240521000495 | NC | Part B Supplier - Clinic/Group Practice | 8628225190 |
Receives reassigned benefits from 4 practitioners Practice locations: Boone, NC |
National Provider Directory
- Tax ID family
- High Country Community Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
108 Doctors Dr
Boone, NC 28607-5000
Mailing address
PO Box 1490
Boone, NC 28607-1490
Phone (828) 262-3886
Other names
- High Country Community Health Watauga Dental
Other providers in Boone, NC
- Joan Marie Hicks
- Sarah Armstrong Hicks
- High Country Behavior Supports and Consultation
- High Country Caregivers Foundation
- High Country Community Health
- High Country Community Health
- High Country Community Health Pharmacy at Watauga Boone Medical
- High Country Doulas LLC
- High Country Ear Nose and Throat PLLC
- High Country Health Care System
All providers in Boone, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.