West Caldwell Health Council, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WEST CALDWELL HEALTH COUNCIL, INC.

Practice address

2855 Hickory Blvd
Hudson, NC 28638-2672

Phone

(828) 726-2733

Fax

(828) 754-2418

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Benjamin McRary

Title

Ceo

Phone

(828) 754-2409

Specialties & licenses 1

Addresses

Other names 1

• CCC&TI CobraCare Clinic Other name

Tax ID family

Cccti Cobracare Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• West Caldwell Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Lenoir, NC
  • NPI 1598249104
  NPD tax ID

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1992733570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "COLLETTSVILLE",
            "state": "NC",
            "postal_code": "286110009",
            "telephone_number": "828-754-2409",
            "fax_number": "828-754-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 HICKORY BLVD",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286382672",
            "telephone_number": "828-726-2733",
            "fax_number": "828-754-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CALDWELL HEALTH COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "MCRARY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-754-2409",
        "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": "CCC&TI CobraCare Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marvin Alan Winesett, O.D.
• Ashley Wolfe
• Charles Oberlin Yost III, DDS

• Federally Qualified Health Center (FQHC) in Hudson, NC
• Providers in Hudson, 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 Dec 26, 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.