Organization
COUNTY OF FORSYTH NORTH CAROLINA
Active
Parent organization
FORSYTH COUNTY NORTH CAROLINA
Other names
Forsyth Co. HD-EPSDT-HC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORSYTH COUNTY NORTH CAROLINA
Authorized official
MR. JOSHUA SWIFT (HEALTH DIRECTOR)
(336) 703-3099
Entity
Organization
Contact information
Practice address
799 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 703-3117
(336) 727-8062
Mailing address
799 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 703-3117
(336) 727-8135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
1129
NC
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153A
BLUE CROSS AND BLUE SHIELD
NC
01
—
1891981247
OTHER
NC
05
—
3404334
—
NC
Enumeration date
01/23/2007
Last updated
11/17/2025
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