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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