NPIMap

Organization Active NPI

McDowell Community Health Services

  • Primary Care Clinic/Center
  • Old Fort, NC
National Provider Identifier
1770583148
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MCDOWELL COMMUNITY HEALTH SERVICES
Practice address
26 S Thomason St.
Old Fort, NC 28762
Phone
(828) 668-7694
Fax
(828) 668-7242
NPI assigned
Jul 28, 2005
Last updated
Sep 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Sonya Greck
Title
President/Ceo
Phone
(828) 659-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

26 S Thomason St.
Old Fort, NC 28762

Mailing address

PO Box 789
Old Fort, NC 28762-0789
Phone (828) 668-7694

Other identifiers 4

IdentifierTypeStateIssuer
7003516MedicaidNC
8956504MedicaidNC
8983966MedicaidNC
89135VMMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1770583148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287620789",
            "telephone_number": "828-668-7694",
            "fax_number": "828-668-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S THOMASON ST.",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "28762",
            "telephone_number": "828-668-7694",
            "fax_number": "828-668-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "GRECK",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "828-659-5100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003516",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8956504",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983966",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135VM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Fort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.