Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
Other names
Hertford County Student Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUN HUNTLEY (INTERIM CHIEF EXECUTIVE OFFICER)
(336) 829-3198
Entity
Organization
Contact information
Practice address
1850 HWY 11 NORTH, MURFREESBORO, NC 27855-1134
(252) 367-2543
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029TU
BCBS OF NORTH CAROLINA
NC
Enumeration date
07/15/2013
Last updated
03/11/2025
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