Organization
ALBEMARLE REGIONAL HEALTH SERVICES
Active
Parent organization
ALBEMARLE REGIONAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBEMARLE REGIONAL HEALTH SERVICES
Authorized official
JERRY L PARKS MPH (HEALTH DIRECTOR)
(252) 338-4404
Entity
Organization
Contact information
Practice address
711 ROANOKE AVE, ELIZABETH CITY, NC 27909-5643
(252) 338-4400
Mailing address
PO BOX 189, ELIZABETH CITY, NC 27907-0189
Taxonomy
Speciality
Code
Description
License number
State
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07068
BCBS
NC
05
—
8907068
—
NC
Enumeration date
12/05/2006
Last updated
06/21/2018
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