FOUR COUNTY PRIMARY CARE, RLLP – NPI #1811917412
Clinic/Center

FOUR COUNTY PRIMARY CARE, RLLP is an AHC clinic located in HENDERSON, NC. NPPES has assigned the NPI number 1811917412 to FOUR COUNTY PRIMARY CARE, RLLP on July 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 17 years ago on Aug 25, 2009. 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 FOUR COUNTY PRIMARY CARE, RLLP below.

NPI Profile for
FOUR COUNTY PRIMARY CARE, RLLP

NPI Number
1811917412
Enumeration Date

(about 20 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
FOUR COUNTY PRIMARY CARE, RLLP
Primary location
120 CHARLES ROLLINS RD
SUITE 102
HENDERSON, NC 27536-2882
Phone: (252) 436-0440 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JIMMY CHATMAN
VICE PRESIDENT/FINANCE
Phone: (252) 436-1101
Updated
Identifiers

Identifiers for FOUR COUNTY PRIMARY CARE, RLLP

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
MEDICAIDNC890214Q
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
261QP2300X
- Clinic/Center / Primary Care (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.