| Tri County Community Health Council Inc | |
|
5531 Eleanor Roosevelt Ln Willard NC 28478-6621 | |
| (877) 935-5255 | |
| (910) 236-2118 |
| Full Name | Tri County Community Health Council Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5531 Eleanor Roosevelt Ln, Willard, North Carolina |
| Authorized Official Name and Position | William C Ellison (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9105677065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Community Health Council Inc Po Box 340 Four Oaks NC 27524-0340 Ph: (610) 567-6194 | Tri County Community Health Council Inc 5531 Eleanor Roosevelt Ln Willard NC 28478-6621 Ph: (877) 935-5255 |
| NPI Number | 1457482051 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457482051 | NPI | - | NPPES |
| 34-1921 | Other | NC | MEDICARE OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5531 Eleanor Roosevelt Lane, Willard, NC 28478 Phone: 877-935-5255 Fax: 910-236-2118 |