NPIMap

Organization Active NPI

Bakersville Community Medical Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
National Provider Identifier
1962993352
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED
Practice address
202 Medical Campus Dr
Burnsville, NC 28714-9004
Phone
(828) 682-6118
NPI assigned
May 22, 2018
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Charles W. Shelton
Title
Ceo
Phone
(828) 688-2104

Specialties & licenses 1

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

Addresses

Primary practice location

202 Medical Campus Dr
Burnsville, NC 28714-9004

Mailing address

PO Box 27
Bakersville, NC 28705-0027
Phone (828) 688-2104

National Provider Directory

National Provider Directory
Tax ID family
Bakersville Comm Med CL5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11658/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1962993352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287050027",
            "telephone_number": "828-688-2104"
        },
        {
            "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": "287149004",
            "telephone_number": "828-682-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-688-2104"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.