Organization
COUNTY OF BRUNSWICK
Active
Other names
Brunswick County Employee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STANLEY (HEALTH DIRECTOR)
19102532250
Entity
Organization
Contact information
Practice address
75 STAMP ACT DR, BOLIVIA, NC 28422-8320
(910) 253-5788
(910) 253-2875
Mailing address
75 STAMP ACT DR, BOLIVIA, NC 28422-8320
(910) 253-5788
(910) 253-2875
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070900
BC BS FLU
NC
01
—
194741
MEDCOST FLU
NC
05
—
3404476
—
NC
01
—
80888
CIGNA FLU
NC
Enumeration date
01/05/2007
Last updated
03/11/2015
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