Organization
COUNTY OF WAYNE
Active
Other names
Wayne County Health Dept - Clinical Services, Wayne County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN KAUPA (MEDICAL RECORDS MANAGER)
(919) 731-1284
Entity
Organization
Contact information
Practice address
1560 CLINGMAN ST, GOLDSBORO, NC 27534-2162
(919) 731-1000
(373) 705-6546
Mailing address
1560 CLINGMAN ST, GOLDSBORO, NC 27534-2162
(919) 731-1000
(919) 705-6546
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
7221
NC
261QC1500X
Community Health Clinic/Center
7221
NC
261QD0000X
Dental Clinic/Center
7221
NC
261QF0050X
Non-Surgical Family Planning Clinic/Center
7221
NC
261QM2500X
Medical Specialty Clinic/Center
7221
NC
261QP0905X
State or Local Public Health Clinic/Center
Primary
7221
NC
261QP2300X
Primary Care Clinic/Center
7221
NC
291U00000X
Clinical Medical Laboratory
7221
NC
3336C0002X
Clinic Pharmacy
03873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07114
BLUE CROSS - BLUE SHIELD
NC
05
—
3404396
—
NC
05
—
3404479
—
NC
01
—
34D0865177
NC STATE LAB
NC
Enumeration date
08/02/2005
Last updated
05/07/2026
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