Kinston Community Health Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

KINSTON COMMUNITY HEALTH CENTER, INC

Practice address

324 N Queen St
Kinston, NC 28501-4932

Phone

(252) 522-9800

Fax

(252) 525-4573

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By 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

Suzanne Freeman

Title

Ceo

Phone

(252) 522-9800

Specialties & licenses 1

Addresses

Other names 1

• Kinston Community Health Center, Inc. Mobile Unit Former legal business name

Tax ID family

Kinston Community Healt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Kinston Community Health Center, Inc

  • Dentist
  • Kinston, NC
  • NPI 1487799730
  NPD tax ID
• Kinston Community Health Center, Inc

  dba Kinston Community Pharmacy

  • Community/Retail Pharmacy
  • Kinston, NC
  • NPI 1902561392
  NPD tax ID

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1952166548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-525-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-525-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-522-9800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinston Community Health Center, Inc. Mobile Unit",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kinston Clinic Pharmacy Inc
• Kinston Clinic Pharmacy Inc.
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc (Kinston Community Pharmacy)
• Kinston Community Health Center, Inc.
• Kinston Dermatology, PA
• Kinston Diagnostic Group PA
• Kinston Digestive Diseases PA
• Kinston Head and Neck Physicians and Surgeons, P.a.

• Federally Qualified Health Center (FQHC) in Kinston, NC
• Providers in Kinston, NC by specialty
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.