Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
Other names
Creswell Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUN HUNTLEY (INTERIM, CEO)
(336) 829-3198
Entity
Organization
Contact information
Practice address
9500 NC HIGHWAY 94 N, CRESWELL, NC 27928-8300
(252) 797-0135
(833) 755-1237
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
01
—
02CEK
BCBS OF NORTH CAROLINA
NC
05
—
1619342706
—
NC
Enumeration date
12/01/2015
Last updated
03/11/2025
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