Organization
GRANVILLE HEALTH SYSTEM
Active
Other names
Granville Internal Medicine & Geriatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE PURVIS (CFO)
(919) 690-3237
Entity
Organization
Contact information
Practice address
110 PROFESSIONAL PARK DRIVE, OXFORD, NC 27565-2756
(919) 693-6541
(919) 693-7396
Mailing address
PO BOX 986, OXFORD, NC 27565-0986
(919) 693-6541
(919) 693-7396
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014WA
BCBS
NC
01
—
022FT
BCBS
NC
05
—
344646A
—
NC
05
—
344646C
—
NC
Enumeration date
06/01/2005
Last updated
10/11/2024
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