Organization · NPI-2
Bertie County Rural Health Association
Clinic/Center, Federally Qualified Health Center (FQHC) · Windsor, NC
NPI number1053577452
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1053577452
- Entity type
- Organization (NPI-2)
- Legal business name
- Bertie County Rural Health Association
- Organization subpart
- Yes
- Enumeration date
- Aug 5, 2008
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
104 Rhodes AveWindsor, NC 27983-9656
Phone 252-794-3042 · Fax 252-794-2911
Mailing address
104 Rhodes AvePo Box 628
Windsor, NC 27983-9656
Phone 252-794-3042 · Fax 252-794-2911
Authorized official
Shavonda H Pugh
Ceo
2527941835
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