Clinic Center Medical Specialty
LBN: Davie County Health Department
Clinic Center Medical Specialty is an health care organization with primary practice located at 210 Hospital St , Mocksville NC 27028-2039. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Public Health, State or Local, Laboratories / Clinical Medical Laboratory, Suppliers / Clinic Pharmacy. Agencies / Case Management is the primary health care specialty.
Davie County Health Department can be contacted via phone (336) 751-8700, or through Bass, Joseph B via phone (336) 751-8700.
Contact Information
Primary practice address
210 Hospital St
Mocksville NC 27028-2039
Phone: (336) 751-8700
Fax: (336) 751-0335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | 04465 | North Carolina |
Profile Details
| NPI number | 1659460624 |
|---|---|
| LBN Legal business name | Davie County Health Department |
| DBA Doing business as | Clinic Center Medical Specialty |
| Authorized official | Bass, Joseph B MSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659460624 | NPPES |
| North Carolina | MEDICAID | 3404459 |
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