APPALACHIAN DISTRICT HEALTH DEPARTMENT NPI 1043761513

NPI Information

NPI: 1043761513
Provider Name: APPALACHIAN DISTRICT HEALTH DEPARTMENT
Classification: Clinic/Center - 261QP0905X
Specialization: Public Health, State or Local
Entity Type: Organization
Other Name: APPHEALTH DENTAL-ASHE
CLIA Number: 34D2187892
Address: 225 COURT ST
JEFFERSON, NC
ZIP 28640
Phone: (336) 246-9449

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NPI Details

APPALACHIAN DISTRICT HEALTH DEPARTMENT is a public health and state or local clinic center in Jefferson, NC. APPALACHIAN DISTRICT HEALTH DEPARTMENT NPI is 1043761513. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Apphealth Dental-ashe.

The provider's business location address is:

225 COURT ST
JEFFERSON, NC
ZIP 28640-696
Phone: (336) 246-9449

The provider's authorized official is Danielle Dougherty .
The authorized official title is Credentialer/billing Coordinator and has the following contact phone number (336) 246-9449.

The CLIA number assigned to this NPI record is 34D2187892 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 1/19/2024.

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	1223G0001X	Dentist	General Practice	10356	NORTH CAROLINA	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	2344747A	OTHER	NORTH CAROLINA	MEDICARE PTAN
2	3404305	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: 3/30/2025

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