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KINSTON COMMUNITY HEALTH CENTER, INC
NPI 1104859313
Clinic/Center - Federally Qualified Health Center (FQHC) in Kinston, NC

Active since July 09, 2006CLIA 34D0906019 · Microscopy
324 N QUEEN STREET, KINSTON, NC 28501(252) 522-9800(252) 523-9790 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Dec 1, 2020, Oct 20, 2020 and 2 more (5 updates tracked since 2019).

About Kinston Community Health Center, Inc NPPES

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

KINSTON COMMUNITY HEALTH CENTER, INC (NPI 1104859313) is a healthcare organization registered as a federally qualified health center (fqhc) in Kinston, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 4, 2026, maintains a secondary practice location in Kinston, and lists Suzanne Freeman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104859313
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKINSTON COMMUNITY HEALTH CENTER, INC
Location Address324 N QUEEN STREETKinston, NC 28501-4932
Mailing AddressPo Box 2278Kinston, NC 28502-2278 · (252) 522-9800 · Fax (252) 522-9854
Phone(252) 522-9800
Fax(252) 523-9790
Organization SubpartNo
Authorized OfficialSuzanne FreemanChief Executive Officer · (252) 522-9800
Enumeration DateJuly 9, 2006
Last NPPES UpdateDecember 13, 20235 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1104859313 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/Center · Primary CareTaxonomy 261QP2300X
324 N QUEEN STREET, Kinston, NC 28501
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Secondary Practice Location 1

Location 1107 S Queen StKinston, NC 28501-4933 · Phone (252) 522-9800 · Fax (252) 523-9790

Other Identifiers 1

Medicaid344575NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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) 34D0906019

Kinston Community Health Center Inc · Kinston, NC
Active · expires Sep 4, 2026
CLIA Number34D0906019
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorRicardo Valdivia
Laboratory Phone(252) 522-4350
Laboratory LocationKinston Community Health Center Inc324 N Queen Street, Kinston, NC 28501
CLIA data matches this NPI record on: Address Name
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.

Certificate of Waiver 34D2151788

Kinston Community Behavioral Health · Kinston, NC
Expired · Jul 26, 2026
CLIA Number34D2151788
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorRicardo Valdivia
Laboratory Phone(252) 522-9800
Laboratory LocationKinston Community Behavioral Health107 S Queen Street, Kinston, NC 28501
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JENNIFER ROBERSON MD
Family Medicine
324 N QUEEN STREET
KINSTON, NC 28501
Lenoir County (252) 522-9800
MARSHA ANN LOVICK FNPC
Nurse Practitioner
324 N QUEEN STREET
KINSTON, NC 28501
Lenoir County (252) 522-9800
DR. JULIUS Q MALLETTE MD
Family Medicine (Addiction Medicine)
324 N QUEEN STREET
KINSTON, NC 28501
Lenoir County (252) 522-9800

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 Kinston Community Health Center, Inc's NPI number?

The NPI number for Kinston Community Health Center, Inc is 1104859313. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Kinston Community Health Center, Inc located?

Kinston Community Health Center, Inc is located at 324 N Queen Street, Kinston, NC 28501. The listed phone number is (252) 522-9800.

What is Kinston Community Health Center, 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 Kinston Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0906019) is associated with this NPI, valid through September 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kinston Community Health Center, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Kinston Community Health Center, 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 Kinston Community Health Center, Inc was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.