| Mountain Community Health Partnership Incorporated | |
|
86 N Mitchell Ave Bakersville NC 28705-6502 | |
| (828) 688-2104 | |
| (828) 688-1334 |
| Full Name | Mountain Community Health Partnership Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 86 N Mitchell Ave, Bakersville, North Carolina |
| Authorized Official Name and Position | Timothy Evans (CEO) |
| Authorized Official Contact | 8286754116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Community Health Partnership Incorporated 86 N Mitchell Ave P.o. Box 27 Bakersville NC 28705-6502 Ph: (828) 688-2104 | Mountain Community Health Partnership Incorporated 86 N Mitchell Ave Bakersville NC 28705-6502 Ph: (828) 688-2104 |
| NPI Number | 1043315054 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 3678538683 |
|---|---|
| Medicare Enrollment ID | O20041208000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043315054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | CHC24141 (North Carolina) | Primary |
| Provider Name | Elizabeth Peverall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215918842 PECOS PAC ID: 9234103375 Enrollment ID: I20040824000578 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20070209000440 |
| Provider Name | Karen Gail Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205081528 PECOS PAC ID: 6709941792 Enrollment ID: I20090206000252 |
| Provider Name | Philip Keith Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003897042 PECOS PAC ID: 1658350830 Enrollment ID: I20090212000704 |
| Provider Name | Jerry D. Cade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861427304 PECOS PAC ID: 3678586138 Enrollment ID: I20090212000722 |
| Provider Name | James Bruce Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225060148 PECOS PAC ID: 7618004029 Enrollment ID: I20100415000963 |
| Provider Name | John C Nicholls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174741920 PECOS PAC ID: 1355479585 Enrollment ID: I20100510000554 |
| Provider Name | Damon G Rouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861498677 PECOS PAC ID: 9830361120 Enrollment ID: I20111010000433 |
| Provider Name | Marnie M Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063447886 PECOS PAC ID: 4183883473 Enrollment ID: I20120330000274 |
| Provider Name | Dwight J Willett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598994956 PECOS PAC ID: 8628203684 Enrollment ID: I20131028001734 |
| Provider Name | Tiffany Wrene Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437507498 PECOS PAC ID: 7719279686 Enrollment ID: I20160713001797 |
| Provider Name | Kirstin James Rule |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871657023 PECOS PAC ID: 0749587301 Enrollment ID: I20161101001169 |
| Provider Name | Patricia Lynn Feeney Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629482047 PECOS PAC ID: 3779872015 Enrollment ID: I20170809000087 |
| Provider Name | Jessica White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811302748 PECOS PAC ID: 1658590104 Enrollment ID: I20171130001858 |
| Provider Name | Tonya Thompson Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013382720 PECOS PAC ID: 3476817701 Enrollment ID: I20180514000994 |
| Provider Name | Stephen David Kimmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467847160 PECOS PAC ID: 1658661046 Enrollment ID: I20180821002093 |
| Provider Name | Nicole Christine Kitner Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932550381 PECOS PAC ID: 9537442686 Enrollment ID: I20190819001063 |
| Provider Name | Amelia Rose Anglin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790346765 PECOS PAC ID: 9537597026 Enrollment ID: I20200316002183 |
| Provider Name | Brittany Kurstin Reece |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578057725 PECOS PAC ID: 9133539414 Enrollment ID: I20201028001812 |
| Provider Name | David J Dubois |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063570091 PECOS PAC ID: 8224437934 Enrollment ID: I20210601000730 |
| Provider Name | Elizabeth Michelle Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821761354 PECOS PAC ID: 4981002334 Enrollment ID: I20211014003319 |
| Provider Name | Kristen Elizabeth Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003377920 PECOS PAC ID: 2769717859 Enrollment ID: I20220505001094 |
| Provider Name | Meghan Rebekah Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598153488 PECOS PAC ID: 3375862212 Enrollment ID: I20220703000008 |
| Provider Name | Ashley Rebecca Hendrixon-ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447981212 PECOS PAC ID: 1557745312 Enrollment ID: I20220829002991 |
| Provider Name | Teresa M Fliearman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992364707 PECOS PAC ID: 5890165625 Enrollment ID: I20230111003274 |
| Provider Name | Hayley Marie Pionk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851851844 PECOS PAC ID: 2961737150 Enrollment ID: I20230526000333 |
| Provider Name | Michelle Lee Presnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134787617 PECOS PAC ID: 4284092099 Enrollment ID: I20230626002408 |
| Provider Name | Marguerite Marie Van Der Vorst |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053000315 PECOS PAC ID: 6608224480 Enrollment ID: I20231205001272 |
| Provider Name | Mkayla Brooke Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578216222 PECOS PAC ID: 6709328941 Enrollment ID: I20240604001102 |