FORSYTH COUNTY NORTH CAROLINA NPI 1396899498

NPI Information

NPI: 1396899498
Provider Name: FORSYTH COUNTY NORTH CAROLINA

Other Name: FORSYTH CO. HD-CAPC

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
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FORSYTH COUNTY NORTH CAROLINA is a public health and state or local clinic center in Winston Salem, NC. FORSYTH COUNTY NORTH CAROLINA NPI is 1396899498. The provider is registered as an organization entity type.
The provider Other Name Is Forsyth Co. Hd-capc.

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 Marlon B Hunter .
The authorized official title is Health Director and has the following contact phone number (336) 703-3099.

The CLIA number assigned to this NPI record is 34D0663720 - public health laboratories with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/25/2013.

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	251B00000X	Case Management				No
2	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	3408318	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

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