High Country Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Mount Airy, NC
NPI 1629942115 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1629942115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HIGH COUNTRY COMMUNITY HEALTH
- Practice address
- 951 Rockford St
Mount Airy, NC 27030-5323 - Phone
- (828) 262-3886
- NPI assigned
- Sep 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Alice Salthouse
- Title
- Ceo
- Phone
- (828) 262-3886
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 7
Practitioners 77
-
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
-
Thomas E Meek II, DO
-
Timothy J Nolan, ANP-BC
-
Jessica Nicole Null, FNP
-
Miranda Joy Ramsey, WHNP-C
-
Brandy Hunt Rodriguez, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Federally qualified health center certification: CCN B61080
- Legal name
- HIGH COUNTRY COMMUNITY HEALTH
- Doing business as
- HIGH COUNTRY COMMUNITY HEALTH AT SURRY MEDICAL MINISTRIES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 12, 2025
- Last certification
- Nov 12, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 951 Rockford St
Mount Airy, NC 27030-5323
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Alice L Salthouse |
Corporate Director |
Oct 1, 2012 | |
| W-2 Managing Employee |
Oct 1, 2012 | ||
| Leigh Ann Byrd |
Operational/Managerial Control |
Dec 17, 2018 |
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 |
|---|---|---|---|---|
| O20240428000009 | NC | Part B Supplier - Clinic/Group Practice | 8628225190 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newland, NC; Mount Airy, NC |
| O20251209001864 | NC | Part a Provider - Federally Qualified Health Center (FQHC) | 8628225190 | Practice locations: Mount Airy, NC |
National Provider Directory
- Tax ID family
- High Country Community Health
Locations
643 Greenway Rd
Ste L
Boone, NC 28607
Phone (828) 263-6123
160 Den-Mac Dr
Boone, NC 28607
Phone (828) 262-3886
504 Pineola St
Newland, NC 28657
Phone (828) 608-9062
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
951 Rockford St
Mount Airy, NC 27030-5323
Mailing address
PO Box 1490
Boone, NC 28607-0682
Phone (828) 262-3886
Other providers in Mount Airy, NC
- Sandy Hemric-Bryant
- Hennis Ophthalmology
- Hugh Linwood Hennis
- Hep LLC
- Richard Ray Herber
- High Country Community Health
- Kylee Hill
- Susan Jean Hines
- Sherry Hinson
- David Hock
All providers in Mount Airy, 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 Sep 30, 2025. 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.