MEDICARE: WESTERN CAROLINA COMMUNITY ACTION, INC

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
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1245816453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN CAROLINA COMMUNITY ACTION, INC

Provider Business Mailing Address
First Line	:	220 KING CREEK BLVD
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28792-4895
Country	:	US
Telephone Number	:	828-698-8571
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 7TH AVE E
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28792-3802
Country	:	US
Telephone Number	:	828-698-8571
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID WHITE
Credential	:
Telephone Number	:	828-698-8571

Provider Enumeration Date	:	03/19/2021
Last Update Date	:	03/19/2021

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