Polk County Community Health and Wellness Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POLK COUNTY COMMUNITY HEALTH AND WELLNESS CENTER, INC

Practice address

155 W Mills St
Ste 202
Columbus, NC 28722-9462

Phone

(828) 894-2222

Fax

(828) 894-2229

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Jamie Jac-Ann Smith

Title

Office Manager

Phone

(828) 894-2222

Specialties & licenses 1

Addresses

Other names 1

• Polk Wellness Center Doing business as

Tax ID family

Polk County Community Health and Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Polk County Community Health & Wellness Center, Inc.

  • Medical Physician Assistant
  • Columbus, NC
  • NPI 1194030403
  NPD tax ID

Locations

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1881023745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W MILLS ST",
            "address_2": "STE 202",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287229462",
            "telephone_number": "828-894-2222",
            "fax_number": "828-894-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MILLS ST",
            "address_2": "STE 202",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287229462",
            "telephone_number": "828-894-2222",
            "fax_number": "828-894-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY COMMUNITY HEALTH AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "JAC-ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-894-2222"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hetvi Vinodbhai Patel, PT
• Pavillon International Outpatient Services
• Thomas C Perraut, MD
• Polk County Community Health & Wellness Center, Inc
• Polk County Community Health & Wellness Center, Inc.
• Polk County Local Government
• Polk County Local Government
• Polk County Rescue Squad
• Polk County Schools
• Polk Emergency Physicians LLC

• Community/Behavioral Health Agency in Columbus, NC
• Providers in Columbus, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.