Organization
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Active
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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