NPI 1003218439
Tri County Community Health Council INC
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
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.