Organization
WEST CALDWELL HEALTH COUNCIL, INC.
Active
Other names
Collettsville Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BENJAMIN MCRARY (ASSISTANT ADMINISTRATOR)
(828) 754-2409
Entity
Organization
Contact information
Practice address
4330 COLLETTSVILLE RD, COLLETTSVILLE, NC 28611-9000
(828) 754-2409
(828) 754-2418
Mailing address
4330 COLLETTSVILLE RD, PO DRAWER 9, COLLETTSVILLE, NC 28611-9000
(828) 754-2409
(828) 754-2418
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344038
—
NC
Enumeration date
12/14/2006
Last updated
06/29/2016
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