Organization
COUNTY OF WAKE
Active
Other names
Wake County Public Health, WAKE COUNTY HEALTH DEPT
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HENDERSON (PROVIDER CREDENTIALING COORDINATOR)
(919) 212-7817
Entity
Organization
Contact information
Practice address
200 SWINBURNE ST, RALEIGH, NC 27610-1834
(919) 250-1120
(919) 743-7403
Mailing address
PO BOX 14169, RALEIGH, NC 27620-4169
(919) 212-7817
(919) 743-4705
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07191
BCBS
NC
05
—
3404392
—
NC
Enumeration date
12/13/2006
Last updated
08/18/2026
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