Organization
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M TRIPP (CEO)
(910) 567-7004
Entity
Organization
Contact information
Practice address
500 S FAYETTEVILLE ST, SALEMBURG, NC 28385-8406
(910) 525-4628
(910) 525-6585
Mailing address
PO BOX 227, NEWTON GROVE, NC 28366-0227
(610) 567-6194
(910) 567-5342
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344539D
—
NC
Enumeration date
03/08/2007
Last updated
02/01/2018
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