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General NPI Number Information
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NPI Number | 1780064832
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Entity Type | Organization
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Legal Business Name | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 409 TALLULAH RD
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City | ROBBINSVILLE
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State | NC
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Zip | 28771-8500
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Country | US
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Telephone | 828-479-6434
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Fax | 828-479-2674
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Provider Business Mailing Address
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Address Line | PO BOX 100181
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City | COLUMBIA
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State | SC
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Zip | 29202-3141
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Country | US
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Telephone | 828-202-5200
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Fax | 828-479-2917
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | SHANTELLE SIMPSON
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Credential |
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Telephone | 828-202-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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