FORSYTH COUNTY NPI 1154475424

NPI Information

NPI: 1154475424
Provider Name: FORSYTH COUNTY

Other Name: FORSYTH CO. HD-EPSDT-HC

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
799 HIGHLAND AVE
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 703-3117
Get Directions

FORSYTH COUNTY is a public health and state or local clinic center in Winston Salem, NC. FORSYTH COUNTY NPI is 1154475424. The provider is registered as an organization entity type.
The provider Other Name Is Forsyth Co. Hd-epsdt-hc.

The provider's business location address is:

799 HIGHLAND AVE
WINSTON SALEM, NC
ZIP 27101-206
Phone: (336) 703-3117
Fax: (336) 727-8062

The provider's authorized official is Joshua Swift .
The authorized official title is Health Director and has the following contact phone number (336) 703-3099.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	261QM2500X	Clinic/Center	Medical Specialty			No
3	261QP0905X	Clinic/Center	Public Health, State or Local	1129	NORTH CAROLINA	No
4	261QP2300X	Clinic/Center	Primary Care			No
5	251B00000X	Case Management				No
6	261QC1500X	Clinic/Center	Community Health			No
7	261QF0050X	Clinic/Center	Family Planning, Non-Surgical			No
8	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0153A	OTHER	NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD
2	1891981247	OTHER	NORTH CAROLINA	OTHER
3	3404334	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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