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Organization

DAVIE COUNTY HEALTH DEPARTMENT

Active
Other names
Clinic Center Medical Specialty
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH B BASS MSW (ADMINISTRATIVE ASSISTANT)
(336) 751-8700
Entity
Organization

Contact information

Practice address
210 HOSPITAL ST, MOCKSVILLE, NC 27028-2039
(336) 751-8700
(336) 751-0335
Mailing address
PO BOX 848, MOCKSVILLE, NC 27028-0848
(336) 751-8700
(336) 751-0335

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QM1300X
Multi-Specialty Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center
291U00000X
Clinical Medical Laboratory
3336C0002X
Clinic Pharmacy
Primary
04465
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3404459
NC
Enumeration date
10/11/2006
Last updated
09/11/2025
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