Organization
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Active
Parent organization
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Other names
CommWell Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Authorized official
WILLIAM C ELLISON (REVENUE CYCLE MANAGER)
(910) 567-7065
Entity
Organization
Contact information
Practice address
1470 MAPLE GROVE CHURCH ROAD, DUNN, NC 28334-7988
(877) 935-5255
(910) 236-2118
Mailing address
PO BOX 340, FOUR OAKS, NC 27524-0340
(910) 567-6194
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-082-014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101161
—
NC
Enumeration date
06/29/2018
Last updated
03/27/2024
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