First Choice Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FIRST CHOICE COMMUNITY HEALTH CENTERS

Practice address

1000 Medical Center Road
Hwy 421
Mamers, NC 27552-0397

Phone

(910) 893-5402

Fax

(910) 893-2567

NPI assigned

Aug 25, 2009

Last updated

Apr 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila Simmons

Title

Ceo

Phone

(910) 364-0971

Specialties & licenses 2

Addresses

Other names 1

• Mobile Dental Other name

Tax ID family

The Western Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• First Choice Community Health Centers

  • Clinic Pharmacy
  • Lillington, NC
  • NPI 1578819959
  NPD tax ID
• First Choice Community Health Centers

  dba Anderson Creek Dental Clinic

  • Dentist
  • Spring Lake, NC
  • NPI 1811910706
  NPD tax ID

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1679706691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AUTUMN FERN TRL",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465155",
            "telephone_number": "910-364-0971",
            "fax_number": "910-814-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER ROAD",
            "address_2": "HWY 421",
            "city": "MAMERS",
            "state": "NC",
            "postal_code": "275520397",
            "telephone_number": "910-893-5402",
            "fax_number": "910-893-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-364-0971"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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": "Mobile Dental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mobile Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leslie Byrne, N.P.
• First Choice Community Health Centers
• First Choice Community Health Centers (Boone Trail Medical Center)
• Marva B Rich, PA-C
• Joseph Jack Umesi, MD

• Federally Qualified Health Center (FQHC) in Mamers, NC
• Providers in Mamers, NC by specialty
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.