Provider Demographics
NPI:1457829996
Name:ROBESON HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:ROBESON HEALTH CARE CORPORATION
Other - Org Name:DR. A.J. ROBINSON COMMUNITY HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CORPORATE BILLING
Authorized Official - Prefix:
Authorized Official - First Name:UNA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOCKLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:RHIA
Authorized Official - Phone:910-521-2900
Mailing Address - Street 1:60 COMMERCE PLAZA CIR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-7386
Mailing Address - Country:US
Mailing Address - Phone:910-521-2900
Mailing Address - Fax:910-775-9165
Practice Address - Street 1:800 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-6937
Practice Address - Country:US
Practice Address - Phone:910-521-2900
Practice Address - Fax:910-775-9165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)