| West Caldwell Health Council, Inc. | |
|
4330 Collettsville Rd Collettsville NC 28611-9000 | |
| (828) 754-2409 | |
| (828) 754-2418 |
| Full Name | West Caldwell Health Council, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4330 Collettsville Rd, Collettsville, North Carolina |
| Authorized Official Name and Position | Thomas Benjamin Mcrary (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 8287542409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Caldwell Health Council, Inc. 4330 Collettsville Rd Po Drawer 9 Collettsville NC 28611-9000 Ph: (828) 754-2409 | West Caldwell Health Council, Inc. 4330 Collettsville Rd Collettsville NC 28611-9000 Ph: (828) 754-2409 |
| NPI Number | 1346302429 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 06/29/2016 |
| Medicare PECOS PAC ID | 4385651876 |
|---|---|
| Medicare Enrollment ID | O20060308000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346302429 | NPI | - | NPPES |
| 344038 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jeffery S Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497715833 PECOS PAC ID: 0941198998 Enrollment ID: I20040317001055 |
| Provider Name | James R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760422620 PECOS PAC ID: 5496870685 Enrollment ID: I20100910000947 |
| Provider Name | Traci Myers White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891166328 PECOS PAC ID: 5092015495 Enrollment ID: I20151207002003 |
| Provider Name | Janet Denise Minton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073806451 PECOS PAC ID: 8628302072 Enrollment ID: I20191105000504 |
| Provider Name | Sandra St Louis Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013525310 PECOS PAC ID: 1759786460 Enrollment ID: I20211013002215 |
| Provider Name | Carmen Mcneil Givens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508267030 PECOS PAC ID: 3678942349 Enrollment ID: I20221220001326 |
| Provider Name | Allie Catherine Craciun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710684717 PECOS PAC ID: 9335506716 Enrollment ID: I20230530001582 |
| Provider Name | Connie Locklear Locklear -jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326034406 PECOS PAC ID: 7012937832 Enrollment ID: I20231102003083 |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4690 Collettsville School Dr, Collettsville, NC 28611 Phone: 828-754-6913 Fax: 828-758-5800 | |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4330 Collettsville Rd, Collettsville, NC 28611 Phone: 704-874-1900 | |
West Caldwell Health Council, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4330 Collettsville Rd, Collettsville, NC 28611 Phone: 828-754-2409 Fax: 828-754-2418 |