NPIMap

Organization Active NPI

Western North Carolina Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, NC
National Provider Identifier
1790402345
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.
Practice address
136 Creekview CT
Marion, NC 28752-6519
Phone
(828) 285-0622
NPI assigned
Oct 25, 2022
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

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

Addresses

Primary practice location

136 Creekview CT
Marion, NC 28752-6519

Mailing address

PO Box 338
Asheville, NC 28802-0338
Phone (828) 285-0622

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231201002892 NC Part A Provider - Federally Qualified Health Center (FQHC) 0840264669 Practice locations: Marion, NC
O20231215000702 NC Part B Supplier - Clinic/Group Practice 0840264669 Receives reassigned benefits from 8 practitioners
Practice locations: Marion, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790402345. Details of each certification follow.

Federally qualified health center certification: CCN B61013

Legal name
WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 21, 2023
Last certification
Nov 21, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Dec 8, 1993 in NC
Enrollment address
136 Creekview CT
Marion, NC 28752-6519

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Western North Carolina6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1914 Smokey Park Hwy
Ste 2
Candler, NC 28715
Phone 82828506224402

676 State St
Marion, NC 28752
Phone 82828506224402

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Gregory Wheeler Individual Corporate DirectorBoard Member Jul 1, 2020
Brent Wyatt Individual Corporate DirectorBoard Member Jul 22, 2020
Daniel R Mullinax Individual Corporate DirectorBoard Member Mar 1, 2020
Kim a Wagenaar Individual Corporate DirectorCeo Jun 24, 2019
W-2 Managing EmployeeCeo Jun 24, 2019
Operational/Managerial ControlCeo Jun 24, 2019 100%
Maria Spadaro Individual Corporate DirectorBoard Member Jan 18, 2023
Raymond L Edwards Individual Corporate DirectorBoard Member Jan 1, 2016
Gabriela Volkomer Individual Corporate DirectorBoard Member Jan 18, 2023
Laura Zapater Individual Corporate DirectorBoard Member Jan 18, 2023
Tara Irby Individual Corporate DirectorBoard Member Jul 1, 2020
Thomas Van Blaricom Individual Corporate DirectorBoard Member Aug 9, 1999
Amy Stevens Individual Corporate DirectorBoard Member Jan 18, 2023

Practitioners & affiliated clinicians

Practitioners 56

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 56

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1790402345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288020338",
            "telephone_number": "828-285-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CREEKVIEW CT",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526519",
            "telephone_number": "828-285-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "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": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.