Western North Carolina Community Health Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.

Practice address

1914 Smoky Park Hwy
Candler, NC 28715-9367

Phone

(828) 285-0622

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Cody McKinney

Title

Cfo

Phone

(828) 285-0622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 861941

Legal name

WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 25, 2022

Last certification

Apr 25, 2022

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Dec 8, 1993 in NC

Enrollment address

1914 Smokey Parky Hwy
Suite 2
Candler, NC 28715-9367

Other NPIs with the same Medicare PAC ID 2

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

• Western North Carolina Community Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1780801050

  0840264669

  Same PAC ID
• Western North Carolina Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, NC
  • NPI 1790402345

  0840264669

  Same PAC ID

Locations

All disclosed owners & managing parties 4

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

Practitioners 7

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

• Lisa Jean Zanzig, DNP, FNP

  • Family Nurse Practitioner
  • Asheville, NC
  • NPI 1700550951
  Medicare reassignment Care Compare group NPD
• Anna Matilda Deangelis, LCSW

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1972226645
  Medicare reassignment NPD
• Amit Patel, M.D.

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1710410287
  Medicare reassignment NPD
• Carmen Tabrielle Robinson, M.D.

  • Family Medicine Physician
  • Clemmons, NC
  • NPI 1609118462
  Medicare reassignment NPD
• Steven Todd Wallenius, M.D.

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1457446163

  NC

  Medicare reassignment NPD
• Venecia M Marte, PA

  • Physician Assistant
  • Candler, NC
  • NPI 1063502805
  Medicare reassignment
• Todd Svitzer, P.A.

  • Medical Physician Assistant
  • Boone, NC
  • NPI 1407257884
  Medicare reassignment

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1700548377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SMOKY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159367",
            "telephone_number": "828-285-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-285-0622"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Charles Warstler, LCMHC, LCAS
• Todd Allen Watson, DPT, OCS, FAAOMPT
• Jana Watts, M.D.
• Byron Reese Wells, LCMHC, NCC, MA
• Marieta Wessels
• Kayla Campbell Westhusing
• Lee Burgess Wheeler, MD
• Trisha Laurin Buckner Whitaker, RN
• Emily Carol White, CF SLP
• Shannon E. White, PT, DPT

• Federally Qualified Health Center (FQHC) in Candler, NC
• Providers in Candler, 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 Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.