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UNITED HEALTH CENTER NPI 1811136476


NPI Information

NPI: 1811136476
Provider Name: UNITED HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D1095882

Address:
3009 WAUGHTOWN ST
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 293-8728
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UNITED HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Winston Salem, NC. UNITED HEALTH CENTER NPI is 1811136476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3009 WAUGHTOWN ST
WINSTON SALEM, NC
ZIP 27107-634
Phone: (336) 293-8728
Fax: (336) 293-8733

The provider's authorized official is Cre'shawna White .
The authorized official title is Finance Director and has the following contact phone number (336) 283-9893.

The CLIA number assigned to this NPI record is 34D1095882 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/5/2009 and was last updated on 7/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNORTH CAROLINANo
2261QP2300XClinic/CenterPrimary CareNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1344060AMEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.