Provider Demographics
NPI:1811563158
Name:THE C W WILLIAMS COMMUNITY HEALTH CENTER INC
Entity Type:Organization
Organization Name:THE C W WILLIAMS COMMUNITY HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:704-393-7720
Mailing Address - Street 1:3333 WILKINSON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5631
Mailing Address - Country:US
Mailing Address - Phone:704-393-7720
Mailing Address - Fax:
Practice Address - Street 1:5800 OLD PINEVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-4106
Practice Address - Country:US
Practice Address - Phone:704-393-7720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)