Bertie County Rural Health Association in Windsor - Federally Qualified Health Center (fqhc)
Bertie County Rural Health Association - NPI 1053577452
Bertie County Rural Health Association is a Federally Qualified Health Center (fqhc) in Windsor, North Carolina. Bertie County Rural Health Association practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Bertie County Rural Health Association is 1053577452. The last update date is 2023-03-24.
Bertie County Rural Health Association's current location address is 104 Rhodes Ave, Windsor, North Carolina. You can contact this provider via phone number 2527943042 and fax number 2527942911. The mailing address for Bertie County Rural Health Association is 104 Rhodes Ave, Windsor, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bertie County Rural Health Association |
|---|---|
| Address | 104 Rhodes Ave, Windsor, North Carolina |
| Phone Number | 2527943042 |
| Fax Number | 2527942911 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pugh H Shavonda |
| Telephone Number | 2527941835 |
NPI Number Detail
| NPI Number | 1053577452 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2023-03-24 |
Provider Mailing Address Detail
| Address | 104 Rhodes Ave |
|---|---|
| City | Windsor |
| State | North Carolina (NC) |
| Post Code | 279839656 |
| Phone Number | 2527943042 |
| Fax Number | 2527942911 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 344512C | NC | -- |
Post Comment/ Review Below
What is the Bertie County Rural Health Association's 1053577452?
The Bertie County Rural Health Association's NPI (National Provider Identifier) Number is 1053577452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bertie County Rural Health Association located?
The Bertie County Rural Health Association is located at 104 Rhodes Ave, Windsor, NC 279839656.
What is Bertie County Rural Health Association's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bertie County Rural Health Association is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did Bertie County Rural Health Association receive its 1053577452 assignment from the Centers for Medicare & Medicaid Services?
The Bertie County Rural Health Association was assigned its 1053577452 on 2008-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bertie County Rural Health Association's details last updated?
The information pertaining to the Bertie County Rural Health Association, including its address, specialty, and other details, was most recently updated on 2023-03-24.