Organization · Type 2 NPI

Guilford County Department of Public Health

State or Local Public Health Clinic/Center · High Point, NC

NPI number 1164557567 Active

Practice location

501 E Green Dr, Adult Immunization Services
High Point, NC 27260-6707

Call (336) 845-7990 Map

Fax (336) 845-7987

Mailing address

1100 E Wendover Ave, Adult Immunization Administration
Greensboro, NC 27405-6713

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed
State or Local Public Health Clinic/Center Primary	261QP0905X	None listed
Clinical Medical Laboratory	291U00000X	34D0238958 (NC)
Clinical Medical Laboratory	291U00000X	34D0664205 (NC)
Clinic Pharmacy	3336C0002X	None listed

State or Local Public Health Clinic/Center: Definition to come...

124 other providers at this address

NPI record

NPI: 1164557567
Entity type: Organization (Type 2)
Issued: Feb 23, 2007
Last updated: Dec 18, 2008
Status: Active
Subpart: Yes of Guilford County Department of Public Health

Other names

<unavail>
Gcdph Adult Immunization · other name

Authorized official

Harvette C Jenkins, MD
Medical Director
(336) 641-7777

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164557567

Guilford County Department of Public Health's National Provider Identifier is 1164557567, issued on Feb 23, 2007. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in High Point, NC. The record was last updated on Dec 18, 2008.