BERTIE COUNTY RURAL HEALTH ASSOCIATION
NPI 1053577452
Clinic/Center - Federally Qualified Health Center (FQHC) in Windsor, NC

Q: What is Bertie County Rural Health Association'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 August 05, 2008CLIA 34D0890697 · Microscopy

104 RHODES AVE, WINDSOR, NC 27983(252) 794-3042(252) 794-2911 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bertie County Rural Health Association NPPES

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

BERTIE COUNTY RURAL HEALTH ASSOCIATION (NPI 1053577452) is a healthcare organization registered as a federally qualified health center (fqhc) in Windsor, North Carolina and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through December 5, 2027 and lists Shavonda H Pugh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053577452

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBERTIE COUNTY RURAL HEALTH ASSOCIATION

Location Address104 RHODES AVEWindsor, NC 27983-9656

Mailing Address104 Rhodes Ave, Po Box 628Windsor, NC 27983-9656 · (252) 794-3042 · Fax (252) 794-2911

Phone(252) 794-3042

Fax(252) 794-2911

Organization SubpartYesParent: Bertie County Rural Health Assoc.

Authorized OfficialShavonda H PughCeo · (252) 794-1835

Enumeration DateAugust 5, 2008

Last NPPES UpdateMarch 24, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1053577452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X

104 RHODES AVE, Windsor, NC 27983

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Other Identifiers 1

Medicaid344512CNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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) 34D0890697

Bertie County Rural Health Association · Windsor, NC

Active · expires Dec 5, 2027

CLIA Number34D0890697

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 6, 2025

Certificate Expiration DateDecember 5, 2027

Laboratory DirectorRicky L. Brooks

Laboratory Phone(252) 794-3042

Laboratory LocationBertie County Rural Health Association104 Rhodes Avenue, Windsor, NC 27983

CLIA data matches this NPI record on: Address 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.

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Other Providers at the Same Location NPPES 8

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

MRS. KAREEN BINION-BROWN PA-C

Specialist