Yancey County Primary Care Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

YANCEY COUNTY PRIMARY CARE CENTER

Practice address

202 Medical Campus Dr.
Burnsville, NC 28714

Phone

(828) 682-6118

Fax

(828) 682-6262

NPI assigned

May 9, 2006

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda Kinnane

Title

Interim Health Director

Phone

(828) 765-9081

Specialties & licenses 1

Addresses

Other names 1

• Toe River Health District Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902855786. Details of each certification follow.

• CCN 343828 Rural health clinic · Active · Name & address match · Details

Rural health clinic certification: CCN 343828

Legal name

YANCEY COUNTY PRIMARY CARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 1, 1978

Last certification

May 17, 2017

Ownership / control type

Non-profit – church related

Facility address

202 Medical Campus Drive
Burnsville, NC 28714

Other NPIs on the same Medicare enrollment 2

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

• Toe River Health District

  • State or Local Public Health Clinic/Center
  • Bakersville, NC
  • NPI 1295864452

  O20130703000611

  Same enrollment
• Toe River Health District

  dba Mitchell County Health Department

  • Case Management Agency
  • Bakersville, NC
  • NPI 1952431520

  O20130703000611

  Same enrollment

Locations

Practitioners 3

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.

• David Franklin Craig, M.D.

  • Family Medicine Physician
  • Burnsville, NC
  • NPI 1780624072
  NPD
• Evergreen Emmejune Haverkamp, FNP

  • Family Nurse Practitioner
  • Jacksonville, NC
  • NPI 1700495553
  NPD
• Samantha S McIntosh, FNP

  • Family Nurse Practitioner
  • Bakersville, NC
  • NPI 1639299886
  NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1902855786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEDICAL CAMPUS DR.",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "28714",
            "telephone_number": "828-682-6118",
            "fax_number": "828-682-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEDICAL CAMPUS DR.",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "28714",
            "telephone_number": "828-682-6118",
            "fax_number": "828-682-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY COUNTY PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "KINNANE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "INTERIM HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-765-9081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toe River Health District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yancey Co Health Department (Yancey School Health Centers)
• Yancey Co. DSS
• Yancey Community Medical Services, Inc. (Mission Family Medical Center)
• Yancey Community Medical Services, Inc.
• Yancey County Committee on Aging, Inc.
• Yancey County Schools
• Yancey County Transportation (Ycta)
• Yancey Home Care Inc
• Yancey House, LLC
• Yancey Residential Services, Inc.

• Rural Health Clinic/Center in Burnsville, NC
• Providers in Burnsville, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.