Healthcare Provider Details

I. General information

NPI: 1407628043
Provider Name (Legal Business Name): APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 10/26/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4226 EAST US HWY 64 ALTERNATE
MURPHY NC
28906
US

IV. Provider business mailing address

141 ASHELAND AVE STE 300
ASHEVILLE NC
28801-4050
US

V. Phone/Fax

Practice location:
  • Phone: 828-202-5200
  • Fax:
Mailing address:
  • Phone: 843-543-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID STEVEN TAYLOR
Title or Position: CHIEF PHARMACY OFFICER
Credential: PHARMD
Phone: 843-543-0004