Organization
GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Active
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, PHARMACY HIGH POINT, HIGH POINT, NC 27260-6707
(336) 641-7777
(336) 641-6971
Mailing address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 641-7777
(336) 641-6971
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
Primary
04143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-07677
UNITED HEALTHCARE
NC
01
—
07124
BLUE CROSS BLUE SHIELD
NC
01
—
3427831
NCPDP HIGH POINT
—
01
—
AS34604210001
CIGNA HEALTHCARE
NC
Enumeration date
07/23/2007
Last updated
07/23/2007
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