Organization
COUNTY OF GREENE
Active
Other names
Greene County Department of Public Health - Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
EVA SPENCE BROCK (HEALTH DIRECTOR)
(252) 747-8183
Entity
Organization
Contact information
Practice address
227 KINGOLD BLVD, SUITE B, SNOW HILL, NC 28580-1303
(252) 747-8181
(252) 747-8946
Mailing address
227 KINGOLD BLVD, SUITE B, SNOW HILL, NC 28580-1303
(252) 747-8181
(252) 747-8946
Taxonomy
Speciality
Code
Description
License number
State
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
34D0865324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721Q
BCBS PROVIDER ID
NC
05
—
3404442
—
NC
Enumeration date
12/29/2006
Last updated
03/17/2025
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