Organization
FIRST CHOICE COMMUNITY HEALTH CENTERS
Active
Other names
Mobile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SIMMONS (CEO)
(910) 364-0971
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER ROAD, HWY 421, MAMERS, NC 27552-0397
(910) 893-5402
(910) 893-2567
Mailing address
40 AUTUMN FERN TRL, LILLINGTON, NC 27546-5155
(910) 364-0971
(910) 814-4064
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
04/30/2018
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