Provider Demographics
NPI:1770651655
Name:CAROLINA FAMILY HEALTH CENTERS, INC
Entity Type:Organization
Organization Name:CAROLINA FAMILY HEALTH CENTERS, INC
Other - Org Name:FREEDOM HILL COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-293-0013
Mailing Address - Street 1:303 GREEN ST E
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4105
Mailing Address - Country:US
Mailing Address - Phone:252-293-0013
Mailing Address - Fax:252-243-2576
Practice Address - Street 1:162 NC HIGHWAY 33 E
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-8582
Practice Address - Country:US
Practice Address - Phone:252-641-0514
Practice Address - Fax:252-641-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC344526AMedicaid
NC017HHOtherBCBS OF NC
NC344526CMedicaid
NC344526CMedicaid
NC2804477CMedicare ID - Type UnspecifiedCIGNA MEDICARE