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Organization

COUNTY OF CATAWBA OFFICE OF ACCOUNTANT

Active
Other names
CCPH Immunization Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS W URLAND MPA (HEALTH DIRECTOR)
(828) 695-5801
Entity
Organization

Contact information

Practice address
3070 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5803
(828) 695-6618
Mailing address
3070 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5803
(828) 695-6618

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
NC
261QM2500X
Medical Specialty Clinic/Center
NC
261QP0905X
State or Local Public Health Clinic/Center
Primary
NC

Other

Enumeration date
01/26/2007
Last updated
10/16/2013
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