Organization
COUNTY OF MONTGOMERY
Active
Organization
COUNTY OF MONTGOMERY
Active
Other names
Montgomery County Department of Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CALLICUTT MSN (DIRECTOR OF PUBLIC HEALTH)
(910) 573-1393
Entity
Organization
Contact information
Practice address
217 S MAIN ST, TROY, NC 27371-3200
(910) 572-1393
(910) 572-8177
Mailing address
217 SOUTH MAIN ST, TROY, NC 27371
(910) 572-1393
(910) 572-8177
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
34D0675784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404362
—
NC
05
—
34044438
—
NC
Enumeration date
11/27/2006
Last updated
08/27/2025
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