GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH


Address: 501 E Green Dr, Adult Immunization Services, High Point, NC 27260-6707
Phone: 3368457990

GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH (NPI# 1164557567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164557567
Entity Type Organization
Organization Name GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Other Organization Name GCDPH ADULT IMMUNIZATION
Practice Address 501 E Green Dr
Adult Immunization Services
High Point
NC 27260-6707
Mailing Address 1100 E Wendover Ave
Adult Immunization Administration
Greensboro
NC 27405-6713
Practice Telephone 3368457990
Practice Fax Number 3368457987
Mailing Telephone 3366471777
Mailing Fax Number 3366416971
Enumeration Date 2007-02-23
Last Update Date 2008-12-18
Authorized Official Name HARVETTE C JENKINS (MEDICAL DIRECTOR)
Authorized Official Telephone 3366417777
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
N 291U00000X Clinical Medical Laboratory 34D0238958 NC Laboratories
N 291U00000X Clinical Medical Laboratory 34D0664205 NC Laboratories
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 07124 01
CIGNA HEALTHCARE AS34604210001 01
UHC 01-07677 01

Other Provider/Organization Names

Other Name Type Code
GCDPH ADULT IMMUNIZATION Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275958589 Guilford County Department of Public Health Clinic/Center 1203 Maple St, Greensboro, NC 27405-6910 2014-02-24
1053748848 Guilford County Department of Public Health Public Health or Welfare 1203 Maple St, Greensboro, NC 27405-6910 2013-10-11
1104026673 Guilford County Department of Public Health Clinic/Center 201 N Eugene St, Pharmacy Guilford Center, Greensboro, NC 27401-2221 2007-07-23
1396945861 Guilford County Department of Public Health Clinic/Center 501 E Green Dr, Pharmacy High Point, High Point, NC 27260-6707 2007-07-23
1215068572 Guilford County Department of Public Health Clinic/Center 1100 E Wendover Ave, Pharmacy Greensboro, Greensboro, NC 27405-6713 2007-03-08
1679609374 Guilford County Department of Public Health Clinic/Center 501 E Green Dr, Bcccp Services, High Point, NC 27260-6707 2007-02-26
1427183813 Guilford County Department of Public Health Clinic/Center 501 E Green Dr, Lab Services, High Point, NC 27260-6707 2007-02-23
1760517155 Guilford County Department of Public Health Clinic/Center 501 E Green Dr, Dental Services, High Point, NC 27260-6707 2007-02-23
1285769679 Guilford County Department of Public Health Clinic/Center 501 E Green Dr, Child Health Immunization Services, High Point, NC 27260-6707 2007-02-23
1073648531 Guilford County Department of Public Health Clinic/Center 501 E Green Dr, Refugee Services, High Point, NC 27260-6707 2007-02-23

Office Location

Street Address 501 E GREEN DR
ADULT IMMUNIZATION SERVICES
City HIGH POINT
State NC
Zip Code 27260-6707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467479493 Constance Arnettres Epps Dentist 501 E Green Dr, High Point, NC 27260-6707 2006-07-16
1144827189 Kristin Lackey Murphy Clinical Nurse Specialist 501 E Green Dr, High Point, NC 27260-6707 2020-10-02
1376161042 Stephanie Y Shytle Registered Nurse 501 E Green Dr, High Point, NC 27260-6707 2020-07-09
1023659158 Cemona L Miller Registered Nurse 501 E Green Dr, High Point, NC 27260-6707 2019-09-30
1831749803 Sharon Ricketts Registered Nurse 501 E Green Dr, High Point, NC 27260-6707 2019-09-12
1730733080 Shakenna Bass Nurse Practitioner 501 E Green Dr, High Point, NC 27260-6700 2019-07-25
1053976357 Ann Elizabeth Barber Registered Nurse 501 E Green Dr, High Point, NC 27260-6707 2019-05-02
1972168284 Susan Householder Registered Nurse 501 E Green Dr, High Point, NC 27260-6707 2019-05-02
1457810905 Teresa Payne Registered Nurse 501 E Green Dr, High Point, NC 27260-6707 2019-03-14
1942766886 Watina D Gibbs Obstetrics & Gynecology 501 E Green Dr, High Point, NC 27260-6707 2019-02-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699291559 Family Primary Care Pllc Family Medicine 200 Greensboro Rd, High Point, NC 27260 2017-08-22
1104102854 Latoya Natasha Seward Registered Nurse 501 East Green Drive, High Point, NC 27260 2011-10-26
1053610170 Anjanette Miles Thompson Registered Nurse 501 E Green Street, High Point, NC 27260 2011-03-16
1043477862 Adrienne Ellison Speech-Language Pathologist 1315 Old Greensboro Rd, High Point, NC 27260 2008-05-20
1831398940 Kelly Dailey Hall Speech-Language Pathologist 109 Penny Road, Greensboro, NC 27260 2007-07-18
1710100078 Power & Praise Tabernacle Custodial Care Facility 807 Vail Ave, High Point, NC 27260 2007-04-11
1356484075 Judd Andrew Caudell Physician Assistant 501 East Greene Street, Guilford County Health Department, High Point, NC 27260 2007-02-14
1598775751 Piedmont Triad Ambulance & Rescue Inc Ambulance 901 S Elm St, High Point, NC 27260 2006-08-09
1467911982 Elizabeth Quiroz Registered Nurse 501 E Greene Dr, High Point, NC 27260 2019-03-14
1740721927 Rachel Conner Physical Therapist 1315 Greensboro Rd, High Point, NC 27260 2017-03-20
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Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

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1134670607 Appalachian District Health Department Clinic/Center 255 Northwest Ln, Warrensville, NC 28693-9244 2016-10-20
1346626587 Forsyth County Dba Cleveland Avenue Dental Center Clinic/Center 501 N Cleveland Ave Ste 1, Winston Salem, NC 27101-4366 2015-08-10
1912031873 Wakecountyhumanservices Clinic/Center 400 Triple Crown Cir, Clayton, NC 27527-6275 2007-03-15
1356498794 County of Brunswick Clinic/Center 75 Stamp Act Dr, Bolivia, NC 28422-8320 2007-01-05
1023172228 Cherokee County Clinic/Center 228 Hilton St, Murphy, NC 28906-2814 2006-12-21
1619058955 County of Franklin Clinic/Center 107 Industrial Drive, Suite C, Louisburg, NC 27549 2006-10-17
1225076615 Dimensions Healthcare, LLC Clinic/Center 1421c S Glenburnie Rd, New Bern, NC 28562-2603 2006-06-04
1316914534 County of Stokes Clinic/Center 1009 N. Main Street, Danbury, NC 27016-0187 2006-03-07
1770183436 County of Pitt Office of Auditor Clinic/Center 201 Government Cir, Greenville, NC 27834-8198 2020-10-30
1518518901 The Caswell Family Medical Center, Inc Clinic/Center 189 County Park Rd, Yanceyville, NC 27379-9376 2019-09-26
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Competitor

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City HIGH POINT
Zip Code 27260

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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