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Organization

ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC

Active
Other names
Colerain Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE WROTEN RN (INTERIM - CHIEF EXECUTIVE OFFICER)
(252) 332-3548
Entity
Organization

Contact information

Practice address
109 W RIVER ST, COLERAIN, NC 27924-9006
(252) 356-2404
(252) 356-2899
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
(252) 209-0197

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018N8
BCBSNC
NC
Enumeration date
11/28/2006
Last updated
03/28/2024
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