Provider Demographics
NPI:1780757757
Name:COMMUNITY HEALTH CONNECTIONS
Entity type:Organization
Organization Name:COMMUNITY HEALTH CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BEDDINGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-894-3308
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:NC
Mailing Address - Zip Code:28750
Mailing Address - Country:US
Mailing Address - Phone:828-894-3308
Mailing Address - Fax:828-859-3059
Practice Address - Street 1:2186 LYNN ROAD
Practice Address - Street 2:A
Practice Address - City:LYNN
Practice Address - State:NC
Practice Address - Zip Code:28750
Practice Address - Country:US
Practice Address - Phone:828-894-3308
Practice Address - Fax:828-859-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0813374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600145OtherPCS
NC3409490Medicaid