Organization
COUNTY OF DAVIDSON
Active
Parent organization
COUNTY OF DAVIDSON
Other names
Davidson County Health Dept- CAP-C
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF DAVIDSON
Authorized official
MRS. LILLIAN KOONTZ M.P.A, R.E.H.S (HEALTH DIRECTOR)
(336) 242-2349
Entity
Organization
Contact information
Practice address
915 N GREENSBORO ST., LEXINGTON, NC 27292-2699
(336) 242-2300
(336) 242-2485
Mailing address
PO BOX 439, LEXINGTON, NC 27293-0439
(336) 242-2300
(336) 242-2485
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408658
—
NC
Enumeration date
01/31/2007
Last updated
03/30/2022
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