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Organization

MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED

Active
Other names
Celo Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY EVANS (CEO)
(828) 675-4116
Entity
Organization

Contact information

Practice address
116 SEVEN MILE RIDGE RD, BURNSVILLE, NC 28714-8509
(828) 675-4116
Mailing address
PO BOX 27, BAKERSVILLE, NC 28705-0027
(828) 688-2104

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568914521
NC
Enumeration date
10/25/2016
Last updated
03/13/2024
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