| Tri County Community Health Council Inc | |
|
725 Boyette Rd Four Oaks NC 27524-7776 | |
| (877) 935-5255 | |
| (910) 236-2118 |
| Full Name | Tri County Community Health Council Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 725 Boyette Rd, Four Oaks, North Carolina |
| Authorized Official Name and Position | William Ellison (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9105677065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Community Health Council Inc Po Box 227 Newton Grove NC 28366-0227 Ph: (910) 567-6194 | Tri County Community Health Council Inc 725 Boyette Rd Four Oaks NC 27524-7776 Ph: (877) 935-5255 |
| NPI Number | 1700054574 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2163409558 |
|---|---|
| Medicare Enrollment ID | O20120523000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700054574 | NPI | - | NPPES |
| 344005D | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Commwell Health Mobile Healthcare Unit 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6114 Us Highway 301 S, Four Oaks, NC 27524 Phone: 877-935-5255 Fax: 910-236-2118 |