Organization · Type 2 NPI

New Hanover Community Health Center Incorporated

Federally Qualified Health Center (FQHC) · Wilmington, NC

NPI number 1457512766 Active

Practice location

1805 S 13th St
Wilmington, NC 28401-6469

Call (910) 772-5552 Map

Mailing address

925 N 4th St
Wilmington, NC 28401-3450

Specialties and licenses

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

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

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NPI record

NPI: 1457512766
Entity type: Organization (Type 2)
Issued: Jun 19, 2008
Last updated: Nov 9, 2023
Status: Active
Subpart: Yes of New Hanover Community Health Center Incorporated

Other names

<unavail>
Lakeside Wellness Center · doing business as
Lakeside Wellness Center · doing business as

Authorized official

Althea Annette Johnson
CEO
(910) 202-8623

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About NPI 1457512766

New Hanover Community Health Center Incorporated's National Provider Identifier is 1457512766, issued on Jun 19, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wilmington, NC. The record was last updated on Nov 9, 2023.