Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
Other names
Woodland Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUN HUNTLEY (INTERIM CEO)
(336) 829-3198
Entity
Organization
Contact information
Practice address
108 W MAIN ST, WOODLAND, NC 27897
(252) 587-3141
(252) 587-3145
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
(252) 209-0197
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023675113
—
NC
Enumeration date
05/23/2019
Last updated
03/11/2025
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