Organization
GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT
Active
Other names
Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA LEIGH GUTHRIE (HEALTH DIRECTOR)
(919) 693-2141
Entity
Organization
Contact information
Practice address
1032 COLLEGE ST, OXFORD, NC 27565-2507
(919) 693-2141
(919) 693-8517
Mailing address
PO BOX 367, OXFORD, NC 27565-0367
(919) 693-2141
(919) 693-8517
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721N
BCBS-GRANVILLE
—
01
—
0721P
BCBS - VANCE
—
05
—
3404339
—
NC
05
—
3404391
—
NC
05
—
3404416
—
NC
01
—
34DO865330
CLIA # HEALTH DEPARTMENT
—
Enumeration date
12/06/2006
Last updated
02/22/2022
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