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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1811563158
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	:	980-335-0504

Provider Business Practice Location Address
First Line	:	5800 OLD PINEVILLE RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-4106
Country	:	US
Telephone Number	:	704-393-7720
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEBRA E WEEKS
Credential	:
Telephone Number	:	704-393-8015

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	03/09/2026

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