Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
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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