Organization
GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Active
Organization
GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Active
Other names
GCDPH CH IMMUNIZATIONS
Organization subpart
No
Provider details
NPI number
Authorized official
HARVETTE C JENKINS MD (MEDICAL DIRECTOR)
(336) 641-7777
Entity
Organization
Contact information
Practice address
501 E GREEN DR, CHILD HEALTH IMMUNIZATION SERVICES, HIGH POINT, NC 27260-6707
(336) 845-7990
(336) 845-7987
Mailing address
1100 E WENDOVER AVE, CHILD HEALTH IMMUNIZATIONS, GREENSBORO, NC 27405-6713
(336) 641-7777
(336) 641-6971
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
NC
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-07677
UHC
—
01
—
07124
BCBS
—
01
—
AS34604210001
CIGNA HEALTHCARE
—
Enumeration date
02/23/2007
Last updated
09/11/2025
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