LAKESIDE WELLNESS CENTER
NPI 1457512766
Clinic/Center - Federally Qualified Health Center (FQHC) in Wilmington, NC

Active since June 19, 2008
1805 S 13TH ST, WILMINGTON, NC 28401(910) 772-5552 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Wellness Center NPPES

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

LAKESIDE WELLNESS CENTER (NPI 1457512766) is a healthcare organization registered as a federally qualified health center (fqhc) in Wilmington, North Carolina and active in the NPI registry since June 2008. The organization lists Althea Annette Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457512766
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Location Address1805 S 13TH STWilmington, NC 28401-6469
Mailing Address925 N 4th StWilmington, NC 28401-3450 · (910) 343-0270 · Fax (910) 251-1540
Organization SubpartYes
Authorized OfficialAlthea Annette JohnsonCeo · (910) 202-8623
Enumeration DateJune 19, 2008
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
NPI 1457512766 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
1805 S 13TH ST, Wilmington, NC 28401

Other Names 1

Doing Business AsLakeside Wellness Center

Other Identifiers 1

Other34-1923Medicare Facility Identification Number

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1805 S 13TH ST
WILMINGTON, NC 28401

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 New Hanover Community Health Center Incorporated's NPI number?

The NPI number for New Hanover Community Health Center Incorporated is 1457512766. It was assigned to this organization in the NPPES registry on June 19, 2008. The provider is doing business as Lakeside Wellness Center.

Where is New Hanover Community Health Center Incorporated located?

New Hanover Community Health Center Incorporated is located at 1805 S 13th St, Wilmington, NC 28401. The listed phone number is (910) 772-5552.

What is New Hanover Community Health Center Incorporated's specialty?

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

When was this NPI record last updated?

The NPPES record for New Hanover Community Health Center Incorporated was last updated on November 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.