Organization
MECKLENBURG COUNTY
Active
Organization
MECKLENBURG COUNTY
Active
Other names
Mecklenburg County Health Department - HIV Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNARD E WASHINGTON PHD (HEALTH DIRECTOR)
(980) 579-0671
Entity
Organization
Contact information
Practice address
2845 BEATTIES FORD RD, CHARLOTTE, NC 28216-3711
(704) 336-4700
Mailing address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(704) 336-4776
(704) 336-5006
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477694313
—
NC
05
—
8700205
—
NC
Enumeration date
02/12/2007
Last updated
02/01/2022
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