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DAVIE COUNTY HEALTH DEPARTMENT NPI 1659460624


NPI Information

NPI: 1659460624
Provider Name: DAVIE COUNTY HEALTH DEPARTMENT

Other Name: CLINIC CENTER MEDICAL SPECIALTY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
210 HOSPITAL ST
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 751-8700
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DAVIE COUNTY HEALTH DEPARTMENT is a clinic pharmacy pharmacy in Mocksville, NC. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. DAVIE COUNTY HEALTH DEPARTMENT NPI is 1659460624. The provider is registered as an organization entity type.
The provider Other Name Is Clinic Center Medical Specialty.

The provider's business location address is:

210 HOSPITAL ST
MOCKSVILLE, NC
ZIP 27028-039
Phone: (336) 751-8700
Fax: (336) 751-0335

The provider's authorized official is Joseph B Bass .
The authorized official title is Administrative Assistant and has the following contact phone number (336) 751-8700.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.


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
13336C0002XPharmacyClinic Pharmacy04465NORTH CAROLINAYes
2251B00000XCase ManagementX
3261QM1300XClinic/CenterMulti-SpecialtyX
4261QM2500XClinic/CenterMedical SpecialtyX
5261QP0905XClinic/CenterPublic Health, State or LocalX
6291U00000XClinical Medical LaboratoryX

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
13404459MEDICAIDNORTH 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: 11/14/2023

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