NPIMap

Organization Active NPI

Mountain Community Health Partnership Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
National Provider Identifier
1831799667
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Practice address
71 Blue Ridge LN
Burnsville, NC 28714-7270
Phone
(828) 682-8588
Fax
(833) 573-2329
NPI assigned
Oct 30, 2020
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Timothy Evans
Title
Ceo
Phone
(828) 675-4116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

71 Blue Ridge LN
Burnsville, NC 28714-7270

Mailing address

PO Box 27
Bakersville, NC 28705-0027
Phone (828) 688-2104

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201215003329 NC Part A Provider - Federally Qualified Health Center (FQHC) 3678538683 Practice locations: Burnsville, NC
O20210212000422 NC Part B Supplier - Clinic/Group Practice 3678538683 Receives reassigned benefits from 30 practitioners
Practice locations: Burnsville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831799667. Details of each certification follow.

Federally qualified health center certification: CCN 341160

Legal name
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 15, 2020
Last certification
Dec 15, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1974 in NC
Enrollment address
71 Blue Ridge LN
Burnsville, NC 28714-7270

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Part of
Mountain Community Health Partnership Incorporated

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
Angela Michelle Wilson Individual Operational/Managerial ControlCredentialing Specialist Nov 17, 2022 100%
Timothy a Evans Individual Operational/Managerial ControlCeo Jul 1, 2023 100%
April Yolei Briggs Individual Operational/Managerial ControlFinance Officer Nov 13, 2024 100%

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1831799667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287050027",
            "telephone_number": "828-688-2104",
            "fax_number": "844-772-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BLUE RIDGE LN",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147270",
            "telephone_number": "828-682-8588",
            "fax_number": "833-573-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED",
        "enumeration_date": "2020-10-30",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-675-4116"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Burnsville, NC

Sources for this page

Verify at the official NPI Registry.