GRANVILLE HEALTH SYSTEM NPI 1811999055

NPI Information

NPI: 1811999055
Provider Name: GRANVILLE HEALTH SYSTEM

Doing Business As: GRANVILLE INTERNAL MEDICINE & GERIATRICS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
110 PROFESSIONAL PARK DRIVE
OXFORD, NC
ZIP 27565
Phone: (919) 693-6541
Get Directions

GRANVILLE HEALTH SYSTEM is a rural health clinic center in Oxford, NC. GRANVILLE HEALTH SYSTEM NPI is 1811999055. The provider is registered as an organization entity type.
The provider Is Doing Business As Granville Internal Medicine & Geriatrics.

The provider's business location address is:

110 PROFESSIONAL PARK DRIVE
OXFORD, NC
ZIP 27565-756
Phone: (919) 693-6541
Fax: (919) 693-7396

The provider's authorized official is Adam West Mcconnell .
The authorized official title is Ceo and has the following contact phone number (919) 690-3402.

The CLIA number assigned to this NPI record is 34D0240090 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/1/2005 and was last updated on 11/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health		NORTH CAROLINA	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	014WA	OTHER	NORTH CAROLINA	BCBS
2	344646C	MEDICAID	NORTH CAROLINA
3	022FT	OTHER	NORTH CAROLINA	BCBS
4	344646A	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: 5/5/2024

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