Bertie County Rural Health Association
Clinic/Center, Federally Qualified Health Center (FQHC) in Windsor, NC. Organization (NPI-2).
NPI number1396886842
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1396886842
- Entity type
- Organization (NPI-2)
- Legal business name
- Bertie County Rural Health Association
- Organization subpart
- No
- Enumeration date
- Feb 9, 2007
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | |
| 174400000X | Specialist | – | – |
Practice location
104 Rhodes AvenueWindsor, NC 27983-9656
Phone 252-794-3042 · Fax 252-794-2911
Mailing address
Po Box 628Windsor, NC 27983-0628
Phone 252-794-3042 · Fax 252-794-2911
Authorized official
Shavonda Pugh
Ceo
2527941835
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