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High Country Community Health

Organization Active NPI Federally Qualified Health Center (FQHC) · Morganton, NC

NPI 1780127431 · NPPES record last updated Feb 11, 2020

Key facts

NPI
1780127431
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
Yes
Parent organization (as reported)
HIGH COUNTRY COMMUNITY HEALTH

Authorized official

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

Owners & managing parties with NPI records 9

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 9

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

Facilities with the same owner 1

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

Practitioners 45

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

View all 45

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC

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
Corporation · Non-profit
Incorporated
Jul 1, 2010 in NC
Enrollment address
301 E Meeting St
Ste 101
Morganton, NC 28655-3594

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 Director
Ceo		 Jul 1, 2012 100%
W-2 Managing Employee
Ceo		 Jul 1, 2012 100%
High Country Community Health
Organization · Boone, NC
Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 2017 100%

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 Dental
Morganton, NC · CCN 861802		 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022

Medicare enrollment records

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

National Provider Directory

Part of
High Country Community Health

Specialties & licenses

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

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

Other providers in Morganton, NC

All providers in Morganton, NC · Federally Qualified Health Center (FQHC) in North Carolina

Sources for this page

Verify at the official NPI Registry.