Organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Active
Organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Active
Parent organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC
Other names
Charlotte Community Health Clinic Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE COMMUNITY HEALTH CLINIC, INC
Authorized official
LISA M HOLMES (COO)
(704) 316-6561
Entity
Organization
Contact information
Practice address
5301 WILKINSON BLVD STE 1105, CHARLOTTE, NC 28208-5455
(704) 316-6573
(704) 384-1977
Mailing address
5301 WILKINSON BLVD STE 1105, CHARLOTTE, NC 28208-5455
(704) 316-6562
(704) 384-1977
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
09/18/2025
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