NPIMap

Organization Active NPI

Blue Ridge Community Health Services, Inc.

Doing business as Polk Health Center

  • Federally Qualified Health Center (FQHC)
  • Columbus, NC
National Provider Identifier
1750757803
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
Polk Health Center
Practice address
161 Walker St
Columbus, NC 28722-9433
Phone
(828) 894-2222
NPI assigned
Aug 12, 2015
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Tammy R Greenwell
Title
Ceo
Phone
(828) 233-2284

Specialties & licenses 1

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

Addresses

Primary practice location

161 Walker St
Columbus, NC 28722-9433

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Other practice location 1

155 W Mills St
Columbus, NC 28722-9412
Phone (828) 692-4289 ext. 2201

Other names 1

  • Polk Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150923002356 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434743 Practice locations: Columbus, NC
O20160209000022 NC Part B Supplier - Clinic/Group Practice 3173434743 Receives reassigned benefits from 156 practitioners
Practice locations: Columbus, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750757803. Details of each certification follow.

Federally qualified health center certification: CCN 341034

Legal name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
POLK HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 23, 2015
Last certification
Sep 23, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1963 in NC
Enrollment address
161 Walker St
Columbus, NC 28722-9433

Other NPIs with the same Medicare PAC ID 21

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

View all 21

National Provider Directory

National Provider Directory

Locations

490 Hospital Dr
Clyde, NC 28721
Phone (828) 246-6372

155 W Mills St
Columbus, NC 28722
Phone 82861242892201

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Marilyn W Tatham Individual W-2 Managing EmployeeProvider Enrollment Manager Jan 1, 2020
Tammy Renee Greenwell Individual Corporate DirectorBoard of Directors Aug 28, 2025
W-2 Managing EmployeeAd;Ceo Aug 28, 2025
Kristie a Hannon Individual W-2 Managing EmployeePatient Financial Service Director Jan 1, 2020

Practitioners & affiliated clinicians

Practitioners 173

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 173

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1750757803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "telephone_number": "828-692-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WALKER ST",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287229433",
            "telephone_number": "828-894-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W Mills St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NC",
            "postal_code": "287229412",
            "country_code": "US",
            "telephone_number": "828-692-4289 x2201",
            "fax_number": "828-696-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-233-2284"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Polk Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NC

Sources for this page

Verify at the official NPI Registry.