COLLETTSVILLE MEDICAL CENTER
NPI 1346302429
Clinic/Center - Federally Qualified Health Center (FQHC) in Collettsville, NC

Active since December 14, 2006CLIA 34D2050162 · Waiver
4330 COLLETTSVILLE RD, COLLETTSVILLE, NC 28611(828) 754-2409(828) 754-2418 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Collettsville Medical Center NPPES

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

COLLETTSVILLE MEDICAL CENTER (NPI 1346302429) is a healthcare organization registered as a federally qualified health center (fqhc) in Collettsville, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Thomas Benjamin Mcrary, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1346302429
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWEST CALDWELL HEALTH COUNCIL, INC.
Location Address4330 COLLETTSVILLE RDCollettsville, NC 28611-9000
Mailing Address4330 Collettsville Rd, Po Drawer 9Collettsville, NC 28611-9000 · (828) 754-2409 · Fax (828) 754-2418
Fax(828) 754-2418
Organization SubpartNo
Authorized OfficialThomas Benjamin McraryAssistant Administrator · (828) 754-2409
Enumeration DateDecember 14, 2006
Last NPPES UpdateJune 29, 2016
NPI 1346302429 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
4330 COLLETTSVILLE RD, Collettsville, NC 28611

Other Names 1

Doing Business AsCollettsville Medical Center

Other Identifiers 3

Medicaid344038NC
Medicare PIN34-1947NC
Medicare UPIN2343321NC

Accepted 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 of Waiver 34D2050162

West Caldwell Mobile Health · Collettsville, NC
Active · expires Nov 19, 2026
CLIA Number34D2050162
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorJames R. Thompson
Laboratory Phone(828) 754-2409
Laboratory LocationWest Caldwell Mobile Health4330 Collettsville Rd, Collettsville, NC 28611
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 8

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

Nurse Practitioner (Family)
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Clinic/Center (Federally Qualified Health Center (FQHC))
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Social Worker (Clinical)
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Clinic/Center (Federally Qualified Health Center (FQHC))
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Social Worker (Clinical)
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Family Medicine
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Nurse Practitioner (Family)
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611
Social Worker (Clinical)
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC 28611

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 West Caldwell Health Council, Inc.'s NPI number?

The NPI number for West Caldwell Health Council, Inc. is 1346302429. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Collettsville Medical Center.

Where is West Caldwell Health Council, Inc. located?

West Caldwell Health Council, Inc. is located at 4330 Collettsville Rd, Collettsville, NC 28611. The listed phone number is (828) 754-2409.

What is West Caldwell 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 West Caldwell Health Council, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2050162) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Caldwell Health Council, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list West Caldwell 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 West Caldwell Health Council, Inc. was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.