Organization
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Active
Other names
Micaville Health Center, Mountain Community Health Partnership Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EVANS (CEO)
(828) 675-4116
Entity
Organization
Contact information
Practice address
621 MICAVILLE LOOP STE 600, BURNSVILLE, NC 28714-0828
(828) 675-4116
Mailing address
PO BOX 27, BAKERSVILLE, NC 28705-0027
(828) 675-4116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
03/13/2024
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