Healthcare Provider Details

I. General information

NPI: 1538297106
Provider Name (Legal Business Name): NEW HANOVER COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 N 4TH STREET
WILMINGTON NC
28401-3450
US

IV. Provider business mailing address

917 N 4TH STREET
WILMINGTON NC
28401-3450
US

V. Phone/Fax

Practice location:
  • Phone: 910-202-8623
  • Fax: 910-202-8660
Mailing address:
  • Phone: 910-202-8623
  • Fax: 910-202-8660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9049
License Number StateNC

VIII. Authorized Official

Name: MS. ALTHEA ANNETTE JOHNSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 910-202-8623