Charlotte Community Health Clinic, Inc. | |
5301 Wilkinson Blvd Charlotte NC 28208-5455 | |
(704) 316-6561 | |
(704) 384-1977 |
Full Name | Charlotte Community Health Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 5301 Wilkinson Blvd, Charlotte, North Carolina |
Authorized Official Name and Position | Carolyn C Allison (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7043166561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Charlotte Community Health Clinic, Inc. 8401 Medical Plaza Dr Ste 300 Charlotte NC 28262-8702 Ph: (704) 316-6561 | Charlotte Community Health Clinic, Inc. 5301 Wilkinson Blvd Charlotte NC 28208-5455 Ph: (704) 316-6561 |
NPI Number | 1902251275 |
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Provider Enumeration Date | 04/25/2016 |
Last Update Date | 10/08/2020 |
Medicare PECOS PAC ID | 0840502274 |
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Medicare Enrollment ID | O20161108000849 |
Identifier | Type | State | Issuer |
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1902251275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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