Organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Active
Organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Active
Parent organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Authorized official
LISA M HOLMES (CHIEF OPERATIONS OFFICER)
(704) 316-6561
Entity
Organization
Contact information
Practice address
3400 SHAMROCK DR, CHARLOTTE, NC 28215-3212
(704) 316-6561
(704) 384-1977
Mailing address
8401 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262-8702
(704) 316-6561
(704) 384-1977
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
05/01/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up