Provider Demographics
NPI:1619517976
Name:MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Entity Type:Organization
Organization Name:MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Other - Org Name:MOUNTAIN COMMUNITY HEALTH PARTNERSHIP DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-675-4116
Mailing Address - Street 1:116 SEVEN MILE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-8509
Mailing Address - Country:US
Mailing Address - Phone:828-675-4116
Mailing Address - Fax:
Practice Address - Street 1:89 N MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BAKERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28705-6502
Practice Address - Country:US
Practice Address - Phone:828-688-2104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty