Organization
COUNTY OF UNION
Active
Other names
Union Co Hlth Dept - Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BELK (DIRECTOR OF BUSINESS SERVICES)
(704) 296-4816
Entity
Organization
Contact information
Practice address
1224 W ROOSEVELT BLVD, MONROE, NC 28110-2820
(704) 296-4800
Mailing address
1224 W ROOSEVELT BLVD, MONROE, NC 28110-2820
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900104
—
NC
Enumeration date
06/25/2007
Last updated
06/27/2008
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