MEDICARE: TRI COUNTY COMMUNITY HEALTH COUNCIL INC.

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	261QM0850X	Adult Mental Health Clinic/Center	MHL082078	NC
2	261QF0400X	Federally Qualified Health Center (FQHC)

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	34-1973	OTHER	NC	MEDICARE OSCAR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649414517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI COUNTY COMMUNITY HEALTH COUNCIL INC.

Provider Business Mailing Address
First Line	:	PO BOX 340
Second Line	:
City	:	FOUR OAKS
State	:	NC
Zip	:	27524-0340
Country	:	US
Telephone Number	:	910-567-6194
Fax Number	:	910-567-5552

Provider Business Practice Location Address
First Line	:	1508 MAPLE GROVE CHURCH RD STE B
Second Line	:
City	:	DUNN
State	:	NC
Zip	:	28334-7688
Country	:	US
Telephone Number	:	877-935-5255
Fax Number	:	910-236-2118

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	WILLIAM C ELLISON
Credential	:
Telephone Number	:	910-567-7065

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	03/27/2024

Similar Medicare Providers

1790815611 — TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Practice Location Address:

1508 MAPLE GROVE CHURCH RD STE A
DUNN, NC
28334-7688

Practice Phone: 877-935-5255
Practice Fax: 910-236-2118

1447447883 — MICHELE CANNON LCSW, PPS
Practice Location Address:

1508B MAPLE GROVE CHURCH RD
DUNN, NC
28334-7688

Practice Phone: 910-567-7162
Practice Fax: 910-567-5022

1528206307 — DR. DOUGLAS M SCARBORO D.D.S.
Practice Location Address:

1508 MAPLE GROVE CHURCH RD
DUNN, NC
28334-7688

Practice Phone: 910-567-2646
Practice Fax: 910-567-4847

1780969667 — DR. RACHEL ANNE LOCEY D.D.S.
Practice Location Address:

1508 MAPLE GROVE CHURCH RD
DUNN, NC
28334-7688

Practice Phone: 910-567-6194
Practice Fax: 910-567-5552

1225584287 — TRI COUNTY COMMUNITY HEALTH COUNCIL INC
Practice Location Address:

1508 MAPLE GROVE CHURCH RD , UNIT 1
DUNN, NC
28334-7688

Practice Phone: 877-935-5255
Practice Fax: 910-236-2118

1932693066 — MRS. BRITTANY WILLIAMS BURKHARD DDS
Practice Location Address:

1508 MAPLE GROVE CHURCH RD
DUNN, NC
28334-7688

Practice Phone: 877-935-5255
Practice Fax:

Directions to “TRI COUNTY COMMUNITY HEALTH COUNCIL INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.