Whalio Doctors

NPI 1003218439

Tri County Community Health Council INC

Organisation Federally Qualified Health Center (FQHC) Shallotte, NC

Practice location

Address
341a Whiteville Rd NW, Shallotte, NC 28470-4507
Phone
(877) 935-5255
Fax
(910) 236-2118
Mailing address
PO Box 340, Four Oaks, NC 27524-0340

Authorised official

Name
William Clay Ellison
Title
Revenue Cycle Manager
Phone
(910) 567-7065

Registered specialties

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X

Registry record

NPI
1003218439
Entity type
Organization
NPI issued
17 Sep 2014
Record last updated
27 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.