Organization
COUNTY OF DAVIDSON
Active
Parent organization
COUNTY OF DAVIDSON
Other names
Davidson County Health Department-BCBS Imm
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF DAVIDSON
Authorized official
MRS. LILLIAN KOONTZ M.P.A, R.E.H.S (HEALTH DIRECTOR)
(336) 242-2349
Entity
Organization
Contact information
Practice address
915 N GREENSBORO ST, LEXINGTON, NC 27292-2699
(336) 242-2300
(336) 242-2485
Mailing address
915 GREENSBORO ST, LEXINGTON, NC 27292
(336) 242-2300
(336) 242-2485
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0727F
BCBS IMM
NC
Enumeration date
05/20/2011
Last updated
08/02/2023
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