Healthcare Provider Details

I. General information

NPI: 1578819959
Provider Name (Legal Business Name): FIRST CHOICE COMMUNITY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 AUTUMN FERN TRL
LILLINGTON NC
27546-5155
US

IV. Provider business mailing address

40 AUTUMN FERN TRL
LILLINGTON NC
27546-5155
US

V. Phone/Fax

Practice location:
  • Phone: 910-364-0967
  • Fax: 910-814-4061
Mailing address:
  • Phone: 910-364-0967
  • Fax: 910-814-4061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number11320
License Number StateNC

VIII. Authorized Official

Name: SHEILA SIMMONS
Title or Position: CEO
Credential:
Phone: 910-364-0971