Organization
NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Active
Other names
MedNorth Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALTHEA JOHNSON (CEO)
(910) 202-8623
Entity
Organization
Contact information
Practice address
925 N 4TH ST, WILMINGTON, NC 28401-3450
(910) 343-0270
(910) 251-1540
Mailing address
925 N 4TH ST, WILMINGTON, NC 28401-3450
(910) 343-0270
(910) 251-1540
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155P
BLUECROSS BLUESHIELD
NC
05
—
344555
—
NC
01
—
8700429
MEDICAID (HIV CASE MGMT)
NC
Enumeration date
05/27/2006
Last updated
03/02/2026
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