NPIMap

Organization Active NPI

Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Lewiston, NC
National Provider Identifier
1841541877
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Practice address
307 S. Main Street
Lewiston, NC 27849-9694
Phone
(252) 348-2545
Fax
(252) 348-2239
NPI assigned
Oct 1, 2012
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mrs. Sharonda Pugh, MBA
Title
Ceo
Phone
(252) 794-1835

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Specialist 174400000X NU
Clinic Pharmacy 3336C0002X NU

Addresses

Primary practice location

307 S. Main Street
Lewiston, NC 27849-9694

Mailing address

PO Box 39
Lewiston, NC 27849-0039
Phone (252) 348-2545

Other names 1

  • Lewiston Community Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115000718 NC Part B Supplier - Clinic/Group Practice 8325949167 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewiston, NC; Windsor, NC
O20120716000303 WI Part A Provider - Federally Qualified Health Center (FQHC) 8325949167 1 other NPI on this enrollment
Practice locations: Lewiston, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841541877. Details of each certification follow.

Federally qualified health center certification: CCN 341853

Legal name
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1996
Last certification
Jul 1, 1996
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 20, 1984 in NC
Enrollment address
307 S Main St
Lewiston, NC 27849-9695

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
BCR Health Association4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

104 Rhodes Ave
Windsor, NC 27983
Phone (252) 794-1835

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Norman M Cherry Individual Corporate DirectorBoard Chairman Mar 25, 1993
Mary Cherry-Cofield Individual Corporate DirectorTreasurer Feb 22, 1996
Norma S Wesson Individual Corporate DirectorBoard Member Mar 24, 2011
Assata K Buffaloe Individual Corporate DirectorBoard Member Sep 20, 2012
John W Richardson Individual Corporate DirectorBoard Member Apr 23, 1992
Lynn a Woodard Individual Corporate DirectorDirector Nov 21, 2019
Sharon B Lee Individual W-2 Managing EmployeeCoo Aug 23, 2012
Helen D Vaughan Individual Corporate DirectorBoard Member May 24, 2007
Shavonda H Pugh Individual Corporate OfficerCeo Aug 18, 1986
W-2 Managing EmployeeCeo Jul 9, 2012
Angela P Cahoon Individual W-2 Managing EmployeeCfo Apr 20, 2020
Shelton Barnes Individual Corporate DirectorBoard Member Jan 23, 1992
Carl a Lee Individual Corporate DirectorVice Board Chairman Aug 22, 2012

Practitioners & affiliated clinicians

Practitioners 12

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": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1841541877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "LEWISTON",
            "state": "NC",
            "postal_code": "278490039",
            "telephone_number": "252-348-2545",
            "fax_number": "252-348-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S. MAIN STREET",
            "city": "LEWISTON",
            "state": "NC",
            "postal_code": "278499694",
            "telephone_number": "252-348-2545",
            "fax_number": "252-348-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTIE COUNTY RURAL HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-794-1835",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewiston Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, NC

Sources for this page

Verify at the official NPI Registry.