Organization
COUNTY OF SURRY & SURRY COUNTY WELFARE DEPARTMENT
Active
Other names
Surry County Health & Nutrition Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY COLLINS (BILLING ADMINISTRATOR)
(336) 401-8405
Entity
Organization
Contact information
Practice address
118 HAMBY RD., DOBSON, NC 27017-8471
(336) 401-8400
(336) 401-8599
Mailing address
118 HAMBY RD., DOBSON, NC 27017-8471
(336) 401-8400
(336) 401-8599
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
100131
NC
261Q00000X
Clinic/Center
100131
NC
261QC1500X
Community Health Clinic/Center
—
NC
261QD0000X
Dental Clinic/Center
—
NC
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NC
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
34D0655018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408756
UNITED HEALTH CARE
NC
01
—
07179
BCBS
NC
01
—
1922
PARTNERS
NC
05
—
3404386
—
NC
Enumeration date
02/07/2007
Last updated
04/22/2024
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