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NPI Code Detail

MEDICARE: MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED

MEDICARE: MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
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
1207Q00000XFamily Medicine Physician
2261QF0400XFederally Qualified Health Center (FQHC)CHC24141NC

General Provider Information

NPI Number : 1043315054
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Provider Business Mailing Address
First Line : 86 N MITCHELL AVE
Second Line : P.O. BOX 27
City : BAKERSVILLE
State : NC
Zip : 28705-6502
Country : US
Telephone Number : 828-688-2104
Fax Number : 844-772-0832
Provider Business Practice Location Address
First Line : 86 N MITCHELL AVE
Second Line :
City : BAKERSVILLE
State : NC
Zip : 28705-6502
Country : US
Telephone Number : 828-688-2104
Fax Number : 844-772-0832
Authorized Official
Title or Position : CEO
Name : MR. TIMOTHY EVANS
Credential :
Telephone Number : 828-675-4116
Provider Enumeration Date : 09/14/2006
Last Update Date : 03/03/2026

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Practice Location Address:
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Practice Fax: 828-688-1334
1225060148 — JAMES BRUCE CARROLL M.D.
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1811922701 — ARCH NMN WOODARD M.D.
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1295830909 — PHILIP ALBERT COPE DC
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1417260373 — DR. DONALD KYLE COPLEY D.M.D
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Directions to “MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED ” Practice Location

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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.

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