Organization
COUNTY OF RANDOLPH
Active
Parent organization
RANDOLPH COUNTY HEALTH DEPARTMENT
Other names
Randolph County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANDOLPH COUNTY HEALTH DEPARTMENT
Authorized official
TARA GEER AKER (HEALTH DIRECTOR)
(336) 318-6217
Entity
Organization
Contact information
Practice address
2222 S FAYETTEVILLE ST STE B, ASHEBORO, NC 27205-7368
(336) 318-6200
(336) 318-6234
Mailing address
2222 S FAYETTEVILLE ST STE B, ASHEBORO, NC 27205-7368
(336) 318-6154
(336) 636-7686
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04467
NORTH CAROLINA PHARMACY #
NC
01
—
0725A
BLUE CROSS NUMBER
NC
05
—
3404376
—
NC
05
—
3404497
—
NC
01
—
34D0655049
CLIA PROVIDER ID NUMBER
NC
Enumeration date
07/10/2006
Last updated
01/18/2023
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