Organization
COUNTY OF CASWELL
Active
Other names
Caswell County Health Dept Personal Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ARMSTRONG EASTWOOD (HEALTH DIRECTOR)
(336) 694-4129
Entity
Organization
Contact information
Practice address
189 COUNTY PARK RD., YANCEYVILLE, NC 27379
(336) 694-4129
(336) 694-7030
Mailing address
PO BOX 1238, YANCEYVILLE, NC 27379-1238
(336) 694-4129
(336) 694-7030
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
34D0865330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721T
HEALTH CHOICE AND CIGNA
NC
01
—
211441
ALAMANCE CNTY HEALTH PLAN
NC
05
—
3404317
—
NC
05
—
3404418
—
NC
01
—
9223880
CIGNA
NC
Enumeration date
03/14/2007
Last updated
08/02/2021
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