COMMWELL HEALTH OF SHALLOTTE
NPI 1003218439
Clinic/Center - Federally Qualified Health Center (FQHC) in Shallotte, NC

Q: What is Tri County Community Health Council Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 17, 2014CLIA 34D0690334 · Microscopy

341A WHITEVILLE RD NW, SHALLOTTE, NC 28470(877) 935-5255(910) 236-2118 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2022, Jan 18, 2022 (2 updates tracked since 2022).

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About Commwell Health Of Shallotte NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMWELL HEALTH OF SHALLOTTE (NPI 1003218439) is a healthcare organization registered as a federally qualified health center (fqhc) in Shallotte, North Carolina and active in the NPI registry since September 2014. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists William Clay Ellison, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1003218439

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTRI COUNTY COMMUNITY HEALTH COUNCIL INC

Location Address341A WHITEVILLE RD NWShallotte, NC 28470-4507

Mailing AddressPo Box 340Four Oaks, NC 27524-0340 · (910) 567-6194 · Fax (910) 567-5342

Phone(877) 935-5255

Fax(910) 236-2118

Organization SubpartNo

Authorized OfficialWilliam Clay EllisonRevenue Cycle Manager · (910) 567-7065

Enumeration DateSeptember 17, 2014

Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration

NPPES CertifiedMarch 27, 2024

✔ NPI 1003218439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

341A WHITEVILLE RD NW, Shallotte, NC 28470

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Other Names 1

Doing Business AsCommwell Health Of Shallotte

Other Identifiers 2

Other2804165NC · Medicare Pin

Other341026Medicare Oscar

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0690334

Tri-County Community Health Council, Inc Dba Commwell Health · Dunn, NC

Active · expires Aug 31, 2026

CLIA Number34D0690334

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorRichelle B. Stone

Laboratory Phone(910) 567-6194

Laboratory LocationTri-County Community Health Council, Inc Dba Commwell Health1480 Maple Grove Church Rd, Dunn, NC 28334

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN ZINK NP

Nurse Practitioner

341A WHITEVILLE RD NW
SHALLOTTE, NC 28470

Brunswick County (910) 567-6194

JOHNNY MOYER N.P.

Nurse Practitioner (Family)

341A WHITEVILLE RD NW
SHALLOTTE, NC 28470

Brunswick County (910) 567-6194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri County Community Health Council Inc's NPI number?

The NPI number for Tri County Community Health Council Inc is 1003218439. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Commwell Health Of Shallotte.

Where is Tri County Community Health Council Inc located?

Tri County Community Health Council Inc is located at 341A Whiteville Rd NW, Shallotte, NC 28470. The listed phone number is (877) 935-5255.

What is Tri County Community Health Council Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Tri County Community Health Council Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0690334) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri County Community Health Council Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Tri County Community Health Council Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri County Community Health Council Inc was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.