Organization
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN C ALLISON (CHIEF EXECUTIVE OFFICER)
(704) 316-6561
Entity
Organization
Contact information
Practice address
5301 WILKINSON BLVD, CHARLOTTE, NC 28208-5455
(704) 316-6561
(704) 384-1977
Mailing address
8401 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262-8702
(704) 316-6561
(704) 384-1977
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
10/08/2020
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