Organization
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M TRIPP (CEO)
(910) 567-7004
Entity
Organization
Contact information
Practice address
6934 BEACH DR SW STE 1, OCEAN ISLE BEACH, NC 28469-5797
(910) 579-1300
(910) 579-9625
Mailing address
PO BOX 227, NEWTON GROVE, NC 28366-0227
(910) 567-6194
(910) 567-4389
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341959
MEDICARE PART A
—
05
—
344042A, 344042C
—
NC
01
—
Q390930001
MEDICARE PART B
—
Enumeration date
08/18/2010
Last updated
02/01/2018
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