NPIMap

Organization Active NPI

High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Morganton, NC
National Provider Identifier
1780127431
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HIGH COUNTRY COMMUNITY HEALTH
Practice address
301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone
(828) 608-0800
Fax
(828) 528-5800
NPI assigned
Nov 29, 2016
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGH COUNTRY COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Mrs. Alice Salthouse
Title
Ceo
Phone
(828) 262-3886

Specialties & licenses 1

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

Addresses

Primary practice location

301 E Meeting St Ste 101
Morganton, NC 28655-3594

Mailing address

PO Box 1490
Boone, NC 28607-1490
Phone (828) 262-3886

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170315001621 NC Part A Provider - Federally Qualified Health Center (FQHC) 8628225190 Practice locations: Morganton, NC
O20190319002838 NC Part B Supplier - Clinic/Group Practice 8628225190 Receives reassigned benefits from 16 practitioners
Practice locations: Morganton, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780127431. Details of each certification follow.

Federally qualified health center certification: CCN 341063

Legal name
HIGH COUNTRY COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 17, 2017
Last certification
Mar 17, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2010 in NC
Enrollment address
301 E Meeting St
Ste 101
Morganton, NC 28655-3594

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2125134High Country Community Health301 E Meeting Street, Suite 101, Morganton, NC 28655Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory
Part of
High Country Community Health

Locations

350 E Parker Rd
Ste 102
Morganton, NC 28655
Phone (828) 580-2700

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Alice L Salthouse Individual Corporate DirectorCeo Jul 1, 2012 100%
W-2 Managing EmployeeCeo Jul 1, 2012 100%
High Country Community Health Organization, Boone, NC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burke DentalMorganton, NC, CCN 861802 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1780127431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886",
            "fax_number": "828-263-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MEETING ST STE 101",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553594",
            "telephone_number": "828-608-0800",
            "fax_number": "828-528-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH COUNTRY COMMUNITY HEALTH",
        "enumeration_date": "2016-11-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "SALTHOUSE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-262-3886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.