CCC&TI COBRACARE CLINIC
NPI 1992733570
Clinic/Center - Federally Qualified Health Center (FQHC) in Hudson, NC

NPI Status: Active since June 30, 2006

Contact Information

2855 HICKORY BLVD
HUDSON, NC
ZIP 28638
Phone: (828) 726-2733
Fax: (828) 754-2418

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 34D2050162
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 11-19-2026

About CCC&TI COBRACARE CLINIC

This page provides the complete NPI Profile along with additional information for Ccc&ti Cobracare Clinic, a primary care provider established in Hudson, North Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1992733570 assigned on June 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Ccc&ti Cobracare Clinic. The authorized official of this NPI record is Mr. Thomas Benjamin Mcrary (Ceo)

NPI
1992733570
Provider Legal Name
WEST CALDWELL HEALTH COUNCIL, INC.
Other Organization Name
CCC&TI COBRACARE CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2855 HICKORY BLVD HUDSON, NC 28638
Location Phone
(828) 726-2733
Location Fax
(828) 754-2418
Mailing Address
PO BOX 9 COLLETTSVILLE, NC 28611
Mailing Phone
(828) 754-2409
Mailing Fax
(828) 754-2418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2006
Last Update Date
12-26-2018
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A primary care provider (PCP) like Ccc&ti Cobracare Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS BENJAMIN MCRARY

Authorized Official Title
CEO
Authorized Official Phone
(828) 754-2409

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2050162
Facility Type
Federally Qualified Health Center
Certificate Effective Date
November 20, 2024
Certificate Expiration Date
November 19, 2026
Laboratory Director
JAMES R. THOMPSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ccc&ti Cobracare Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992733570, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 4 + 3 + 6 + 5 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1992733570.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992733570, enumerated as an "organization" on June 30, 2006.

The provider is located at 2855 HICKORY BLVD HUDSON, NC 28638 and the phone number is (828) 726-2733.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).