Provider Demographics
NPI:1679728216
Name:FAMILY CENTERED HEALTHCARE, PA
Entity Type:Organization
Organization Name:FAMILY CENTERED HEALTHCARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-245-3247
Mailing Address - Street 1:P.O. BOX 1119
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-1119
Mailing Address - Country:US
Mailing Address - Phone:919-245-3247
Mailing Address - Fax:919-732-3864
Practice Address - Street 1:400 MILLSTONE DRIVE
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9007
Practice Address - Country:US
Practice Address - Phone:919-245-3247
Practice Address - Fax:919-732-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty