Organization
COUNTY OF DAVIDSON
Active
Parent organization
COUNTY OF DAVIDSON
Other names
Davidson Co Health Dept-Clinical Services
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
915 GREENSBORO ST, LEXINGTON, NC 27292
(336) 242-2300
(336) 242-2485
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
34D0865330
NC
291U00000X
Clinical Medical Laboratory
34D1058572
NC
3336C0002X
Clinic Pharmacy
03861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000042052001
UNITED HEALTH CARE
NC
01
—
00602
HEALTHY BLUE NC
NC
01
—
024YN
BCBS HEALTH CHOICE
NC
01
—
1844
WELLCARE
NC
05
—
3404329
—
NC
01
—
600001182
RR MEDICARE
NC
01
—
81671
ACNC
NC
01
—
87726
UHC-COMMUNITY PLAN
NC
Enumeration date
01/30/2007
Last updated
08/02/2023
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