Gcdph Adult Immunization
LBN: Guilford County Department Of Public Health
Gcdph Adult Immunization is an health care organization with primary practice located at 501 E Green Dr Adult Immunization Services, High Point NC 27260-6707. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Public Health, State or Local, Laboratories / Clinical Medical Laboratory, Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty.
Guilford County Department Of Public Health can be contacted via phone (336) 845-7990, or through Jenkins, Harvette C via phone (336) 641-7777.
Contact Information
Primary practice address
501 E Green Dr Adult Immunization Services
High Point NC 27260-6707
Phone: (336) 845-7990
Fax: (336) 845-7987
Website:
Authorized official contact:
Name: Jenkins, Harvette C Doctor of Medicine (MD)
Phone: (336) 641-7777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 34D0238958 | North Carolina |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 34D0664205 | North Carolina |
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1164557567 |
|---|---|
| LBN Legal business name | Guilford County Department Of Public Health |
| DBA Doing business as | Gcdph Adult Immunization |
| Authorized official | Jenkins, Harvette C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Dec 18th, 2008 - about 16 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 | 1164557567 | NPPES |
| Other | 01-07677 | UHC | |
| Other | 07124 | UHC | |
| Other | AS34604210001 | UHC |
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