PERSON COUNTY HEALTH DEPARTMENT (NPI# 1629145305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629145305 |
| Entity Type | Organization |
| Organization Name | PERSON COUNTY HEALTH DEPARTMENT |
| Other Organization Name | OUTREACH AND CLINIC SERVICES |
| Practice Address |
355 S Madison Blvd Ste A Roxboro NC 27573-5485 |
| Practice Telephone | 3365972204 |
| Practice Fax Number | 3365974804 |
| Mailing Telephone | 3365972204 |
| Mailing Fax Number | 3365974804 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | JANET O CLAYTON (HEALTH DIRECTOR) |
| Authorized Official Telephone | 3365972204 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF PERSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3404421 | 05 |
| Other Name | Type Code |
|---|---|
| Outreach and Clinic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518034701 | Person County Health Department | Clinic/Center | 355 S Madison Blvd, Ste A, Roxboro, NC 27573-5485 | 2006-11-30 |
| Street Address |
355 S MADISON BLVD STE A |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-5485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972987972 | Shenita Paulette Mangum | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2015-07-20 |
| 1710365192 | Kathleen Oconnell | Counselor | 355 S Madison Blvd, Suite C, Roxboro, NC 27573 | 2015-05-18 |
| 1952657926 | Merry Leathers | Counselor | 355 S Madison Blvd, Roxboro, NC 27573-5485 | 2012-07-27 |
| 1225301492 | Kevin T Ashe | Counselor | 355 S Madison Blvd, Roxboro, NC 27573-5485 | 2012-02-17 |
| 1952694713 | Leslie Hoagland | Counselor | 355 S Madison Blvd, C1, Roxboro, NC 27573-5485 | 2011-05-26 |
| 1477853786 | Peter Charles Soule | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2010-11-02 |
| 1144539768 | Triumph LLC | Psychiatry & Neurology | 355 S Madison Blvd, Ste. C2, Roxboro, NC 27573-5485 | 2010-09-30 |
| 1578701389 | Felipe Khristopher Blue | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2009-02-02 |
| 1164660551 | Amanda Bloom | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2009-01-23 |
| 1043455934 | Robin A Jackson-thorne | Social Worker | 355 S Madison Blvd, Suite C2, Roxboro, NC 27573-5485 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275073637 | County of Person | Clinic/Center | 355 S Madison Blvd Ste A, Roxboro, NC 27573-5485 | 2017-03-06 |
| 1427125616 | County of Person, Office of County Finance | Clinic/Center | 355 S Madison Blvd, Ste A, Roxboro, NC 27573-5485 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.