Bertie County Rural Health Association

LBN: Bertie County Rural Health Association
Bertie County Rural Health Association is an health care organization with primary practice located at 104 Rhodes Avenue , Windsor NC 27983-9656. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Bertie County Rural Health Association can be contacted via phone (252) 794-3042, or through Pugh, Shavonda via phone (252) 794-1835.

Contact Information

Primary practice address
104 Rhodes Avenue Windsor NC 27983-9656
Phone: (252) 794-3042
Fax: (252) 794-2911
Website:
Map and Directions
Authorized official contact:
Name: Pugh, Shavonda MBA
Phone: (252) 794-1835

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1396886842
LBN Legal business name Bertie County Rural Health Association
DBA Doing business as
Authorized official Pugh, Shavonda MBA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Jun 24th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396886842 NPPES
North Carolina MEDICAID 344512A
North Carolina Other 341825
North Carolina MEDICAID 344512C

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