Organization · Type 2 NPI

Charlotte Community Health Clinic, Inc.

Federally Qualified Health Center (FQHC) · Charlotte, NC

NPI number 1053065201 Active

Practice location

3622 Central Ave
Charlotte, NC 28205-5638

Call (704) 316-6561 Map

Fax (704) 384-1977

Mailing address

8401 Medical Plaza Dr Ste 300
Charlotte, NC 28262-8702

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

6 other providers at this address

Other federally qualified health center (fqhc) providers in Charlotte

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NPI record

NPI: 1053065201
Entity type: Organization (Type 2)
Issued: Feb 7, 2022
Last updated: Aug 15, 2022
Status: Active

Other names

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Smith Family Wellness Clinic · other name
Smith Family Wellness Clinic · other name

Authorized official

Stefani Priscilia Ruarte
Credentialing Coordinator
(704) 316-6573

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053065201

Charlotte Community Health Clinic, Inc.'s National Provider Identifier is 1053065201, issued on Feb 7, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Charlotte, NC. The record was last updated on Aug 15, 2022.