Organization
ROBESON HEALTH CARE CORPORATION
Active
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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