MEDICARE: GREENE COUNTY HEALTH CARE INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1083616809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENE COUNTY HEALTH CARE INCORPORATED

Provider Business Mailing Address
First Line	:	7 PROFESSIONAL DR
Second Line	:
City	:	SNOW HILL
State	:	NC
Zip	:	28580-1332
Country	:	US
Telephone Number	:	252-747-8162
Fax Number	:	252-747-8163

Provider Business Practice Location Address
First Line	:	140 SCHOOL DR
Second Line	:
City	:	SNOW HILL
State	:	NC
Zip	:	28580-7288
Country	:	US
Telephone Number	:	252-747-5841
Fax Number	:	252-747-4916

Authorized Official
Title or Position	:	CFO
Name	:	DAPHNE BETTS-HEMBY
Credential	:
Telephone Number	:	252-747-8162

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	01/16/2025

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