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NPI Code Detail

MEDICARE: THE C. W. WILLIAMS COMMUNITY HEALTH CENTER, INC

MEDICARE: THE C. W. WILLIAMS COMMUNITY HEALTH CENTER, 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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103045OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447417670
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE C. W. WILLIAMS COMMUNITY HEALTH CENTER, INC
Provider Business Mailing Address
First Line : 3333 WILKINSON BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5631
Country : US
Telephone Number : 704-393-7720
Fax Number : 704-398-3173
Provider Business Practice Location Address
First Line : 3333 WILKINSON BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-5631
Country : US
Telephone Number : 704-393-7720
Fax Number : 704-398-3173
Authorized Official
Title or Position : CEO
Name : DEBRA WEEKS
Credential :
Telephone Number : 704-393-8015
Provider Enumeration Date : 05/16/2008
Last Update Date : 03/09/2026

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