| Roanoke Chowan Community Health Center Inc | |
|
9500 Nc Highway 94 N Creswell NC 27928-8300 | |
| (252) 797-0135 | |
| (833) 755-1237 |
| Full Name | Roanoke Chowan Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9500 Nc Highway 94 N, Creswell, North Carolina |
| Authorized Official Name and Position | Lashun Huntley (INTERIM, CEO) |
| Authorized Official Contact | 3368293198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roanoke Chowan Community Health Center Inc Po Box 669 Ahoskie NC 27910-0669 Ph: (252) 209-0237 | Roanoke Chowan Community Health Center Inc 9500 Nc Highway 94 N Creswell NC 27928-8300 Ph: (252) 797-0135 |
| NPI Number | 1619342706 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 03/11/2025 |
| Medicare PECOS PAC ID | 7214983386 |
|---|---|
| Medicare Enrollment ID | O20161121000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619342706 | NPI | - | NPPES |
| 02CEK | Other | NC | BCBS OF NORTH CAROLINA |
| 1619342706 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cah Acquisition Company 1 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Nc Highway 94 North, Creswell, NC 27928 Phone: 252-797-3869 Fax: 252-797-3889 |