NPIMap

Bakersville Community Medical Clinic, Incorporated

Organization Active NPI Federally Qualified Health Center (FQHC) · Burnsville, NC

NPI 1962993352 · NPPES record last updated May 22, 2018

Key facts

NPI
1962993352
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Bakersville Comm Med (5 organizations share this tax ID)

Interoperability endpoints

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

Specialties & licenses

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

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

Other providers in Burnsville, NC

All providers in Burnsville, NC · Federally Qualified Health Center (FQHC) in North Carolina

Sources for this page

Verify at the official NPI Registry.