TRI COUNTY COMMUNITY HEALTH COUNCIL INC – NPI #1700054574
Clinic/Center

TRI COUNTY COMMUNITY HEALTH COUNCIL INC is an AHC clinic located in FOUR OAKS, NC. NPPES has assigned the NPI number 1700054574 to TRI COUNTY COMMUNITY HEALTH COUNCIL INC on February 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Jul 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI COUNTY COMMUNITY HEALTH COUNCIL INC below.

NPI Profile for
TRI COUNTY COMMUNITY HEALTH COUNCIL INC

NPI Number
1700054574
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Primary location
725 BOYETTE RD
FOUR OAKS, NC 27524-7776
Phone: (877) 935-5255 Fax: (910) 236-2118
Mailing address
PO BOX 340
FOUR OAKS, NC 27524-0340
Phone: (910) 567-6194 Fax: (910) 567-5342
Organization Subpart
No
Authorized Official
WILLIAM ELLISON
REVENUE CYCLE MANAGER
Phone: (910) 567-7065
Updated
Certification Date
Jul 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TRI COUNTY COMMUNITY HEALTH COUNCIL INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC344005D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.