NPIMap

Organization Active NPI

High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Mount Airy, NC
National Provider Identifier
1629942115
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Alice Salthouse
Title
Ceo
Phone
(828) 262-3886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629942115. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
951 Rockford St
Mount Airy, NC 27030-5323

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
High Country Community Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 Highway 105 Ext
Ste 100
Boone, NC 28607
Phone (828) 264-7311

951 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7993

504 Pineola St
Newland, NC 28657
Phone (828) 608-9062

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Alice L Salthouse Individual Corporate DirectorChief Executive Officer Oct 1, 2012
W-2 Managing EmployeeChief Executive Officer Oct 1, 2012
Leigh Ann Byrd Individual Operational/Managerial ControlChief Operating Officer Dec 17, 2018

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
High Country Community HealthMorganton, NC, CCN 341063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Burke DentalMorganton, NC, CCN 861802 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1629942115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286070682",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "828-262-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "SALTHOUSE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-262-3886"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.