Organization Name: | CAROLINA FAMILY HEALTH CENTERS, INC. |
NPI Number: | 1093883852 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEE JOHNSON (CEO) |
Mailing Address: | 8282 S Nc Highway 58 Elm City |
State: | NC US |
Postal Code: | 278228079 |
Phone Number: | 2524437744 |
Fax Number: | 2524437611 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |