Organization
ROBESON HEALTH CARE CORPORATION
Active
Other names
MONTGOMERY COUNTY COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TIMOTHY HALL (PRESIDENT/CEO)
(910) 521-2900
Entity
Organization
Contact information
Practice address
103 COTTON CREEK RD, STAR, NC 27356
(910) 428-9020
(910) 428-9022
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026KU
BCBS
NC
05
—
344054A
—
NC
05
—
344054C
—
NC
Enumeration date
04/10/2012
Last updated
08/16/2018
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