Organization
COUNTY OF STANLY
Active
Parent organization
COUNTY OF STANLY
Other names
Stanly Co Hlth Dept - HealthCheck-EPSDT- FP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF STANLY
Authorized official
GLENN DAVID JENKINS (HEALTH AND HUMAN SERVICES)
(704) 982-9171
Entity
Organization
Contact information
Practice address
1000 N 1ST ST, SUITE 3, ALBEMARLE, NC 28001-2819
(704) 982-9171
(704) 982-8354
Mailing address
1000 N 1ST ST, SUITE 3, ALBEMARLE, NC 28001-2819
(704) 982-9171
(704) 982-8354
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NC
261QM1300X
Multi-Specialty Clinic/Center
—
NC
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
NC
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
34D0684540
NC
3336C0002X
Clinic Pharmacy
ML0765137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404384
—
NC
Enumeration date
02/06/2007
Last updated
10/24/2018
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