Organization Active NPI

Tri County Community Health Council Inc

Doing business as CommWell Health of Columbus County

  • Federally Qualified Health Center (FQHC)
  • Whiteville, NC
National Provider Identifier
1932365095
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Doing business as
CommWell Health of Columbus County
Practice address
209 W Virgil St
Whiteville, NC 28472-4017
Phone
(910) 641-0202
Fax
(910) 641-0208
NPI assigned
Jul 29, 2008
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI-COUNTY COMMUNITY HEALTH COUNCIL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Mr. John Michael Baker
Title
Ceo
Phone
(910) 567-6194

Specialties & licenses 1

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

Addresses

Primary practice location

209 W Virgil St
Whiteville, NC 28472-4017

Mailing address

PO Box 227
Newton Grove, NC 28366-0227
Phone (910) 567-6194

Other names 1

  • CommWell Health of Columbus County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Oaks Family Health25 organizations share this tax ID, including this one
Part of
Carolina Oaks Family Health

Other organizations with this tax ID 24

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

View all 24

Locations

209 W Virgil St
Whiteville, NC 28472
Phone (910) 640-2430

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1932365095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "NEWTON GROVE",
            "state": "NC",
            "postal_code": "283660227",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W VIRGIL ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724017",
            "telephone_number": "910-641-0202",
            "fax_number": "910-641-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY COMMUNITY HEALTH COUNCIL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-COUNTY COMMUNITY HEALTH COUNCIL, INC.",
        "enumeration_date": "2008-07-29",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-567-6194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommWell Health of Columbus County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.