NPIMap

Organization Active NPI

Kinston Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kinston, NC
National Provider Identifier
1639634819
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KINSTON COMMUNITY HEALTH CENTER, INC.
Practice address
324 N Queen St
Kinston, NC 28501-4932
Phone
(252) 522-9800
Fax
(252) 523-9790
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Mrs. Suzanne Freeman
Title
Chief Executive Officer
Phone
(252) 522-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

324 N Queen St
Kinston, NC 28501-4932

Mailing address

324 N Queen St
Kinston, NC 28501-4932
Phone (252) 522-9800

Other names 1

  • Kinston Community Behavioral Health Center Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040706001352 NC Part B Supplier - Clinic/Group Practice 1254318397 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kinston, NC
O20190419000136 NC Part A Provider - Federally Qualified Health Center (FQHC) 1254318397 Practice locations: Kinston, NC

Federally qualified health center certification: CCN 341107

Legal name
KINSTON COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 19, 2019
Last certification
Apr 19, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1993 in NC
Enrollment address
324 N Queen St
Kinston, NC 28501-4932

Other NPIs with the same Medicare PAC ID 2

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

Locations

324 N Queen St
Kinston, NC 28501
Phone (252) 522-9800

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Matthew Frank Individual Corporate Officer Jul 1, 2025
Suzanne Freeman Individual 5% Or Greater Indirect Ownership InterestCeo Sep 22, 2023
Alessandria Cyrena Tucker Individual W-2 Managing EmployeeCredentialing and Enrollment Spec Jul 1, 2025
Vincent Jones Individual Corporate OfficerBoard Member Jan 1, 2006
Tyrone Jones Individual Corporate OfficerBoard Member Jan 1, 2014
Teresa Jones Individual Operational/Managerial Control Oct 27, 2003
Geraldine Loftin Individual Corporate DirectorBoard Member Jan 1, 2006
Alexis Welch Individual Corporate OfficerBoard Member Jan 1, 2016

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1639634819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-522-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinston Community Behavioral Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.