{"npi":"1073367249","type":"NPI-2","status":"active","name":{"display":"Charlotte Community Health Clinic, Inc.","other":[],"organization_name":"CHARLOTTE COMMUNITY HEALTH CLINIC, INC.","authorised_official":"Lisa Holmes"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3400 SHAMROCK DR","city":"CHARLOTTE","state":"NC","postal_code":"282153212","country_code":"US","phone":"7043166561","fax":"7043841977"},{"purpose":"MAILING","street_1":"8401 MEDICAL PLAZA DR STE 300","city":"CHARLOTTE","state":"NC","postal_code":"282628702","country_code":"US","phone":"7043166561","fax":"7043841977"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240820003222","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"NC","pac_id":"0840502274"}]},"enumeration_date":"2024-04-15","last_updated":"2024-05-01","_meta":{"source":"NPPES","snapshot_date":"2024-05-01","doc_url":"https://findmynpi.com/api"}}