DAVIE COUNTY HEALTH DEPARTMENT (NPI# 1659460624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659460624 |
| Entity Type | Organization |
| Organization Name | DAVIE COUNTY HEALTH DEPARTMENT |
| Other Organization Name | CLINIC CENTER MEDICAL SPECIALTY |
| Practice Address |
210 Hospital St Mocksville NC 27028-2039 |
| Mailing Address |
Po Box 848 Mocksville NC 27028-0848 |
| Practice Telephone | 3367518700 |
| Practice Fax Number | 3367510335 |
| Mailing Telephone | 3367518700 |
| Mailing Fax Number | 3367510335 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH B BASS (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 3367518700 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
04465 | NC | Suppliers |
| X | 251B00000X | Case Management | Agencies | ||
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| X | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| X | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| X | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3404459 | 05 |
| Other Name | Type Code |
|---|---|
| Clinic Center Medical Specialty | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932297249 | Davie County Health Department | Hospice Care, Community Based | 642 Wilkesboro St, Mocksville, NC 27028-2051 | 2006-10-11 |
| 1922020932 | Davie County Health Department | Pharmacy | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-07-25 |
| 1033293055 | Davie County Health Department | Clinic/Center | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-25 |
| 1356426043 | Davie County Health Department | Clinic/Center | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAVIE COUNTY HEALTH DEPARTMENT & HOME HEALTH AGENCY | 210 Hospital St, Mocksville, NC 27028-2039 |
| Street Address |
210 HOSPITAL ST |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922020932 | Davie County Health Department | Pharmacy | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-07-25 |
| 1841790151 | Carley Rothstein | Social Worker | 210 Hospital St, Mocksville, NC 27028-2039 | 2018-02-14 |
| 1811409121 | Mandi Irwin | Dietitian, Registered | 210 Hospital St, Mocksville, NC 27028-2039 | 2017-10-26 |
| 1396992764 | George Douglas Kimberly | Family Medicine | 210 Hospital St, Mocksville, NC 27028-2039 | 2008-08-27 |
| 1578648424 | Tona F Cornatzer | Physician Assistant | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-26 |
| 1023193935 | Rebecca Ann Mcmahan | Nurse Practitioner | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-26 |
| 1033293055 | Davie County Health Department | Clinic/Center | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-25 |
| 1356426043 | Davie County Health Department | Clinic/Center | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-25 |
| 1144301045 | County of Davie Office of Finance Agent | Clinic/Center | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-18 |
| 1720177140 | County of Davie Office of Finance Agent | Clinic/Center | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922020932 | Davie County Health Department | Pharmacy | 210 Hospital St, Mocksville, NC 27028-2039 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1548743826 | Asheville Mountain Pharmacy Inc | Pharmacy | 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 | 2018-09-12 |
| 1770006355 | Surry Medical Ministries Clinic | Pharmacy | 813 Rockford St, Mount Airy, NC 27030-5321 | 2017-07-25 |
| 1235514860 | Student Stores Pharmacy | Pharmacy | Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 | 2015-07-24 |
| 1366863144 | Helping Hands Clinic, Inc. | Pharmacy | 810 Harper Ave Nw, Lenoir, NC 28645-5083 | 2013-12-23 |
| 1174876189 | Campbell University Health Center, LLC | Pharmacy | 129 T. T. Lanier Street, Buies Creek, NC 27506 | 2012-10-16 |
| 1942535232 | Quality Care Pharmacy of The Sandhills | Pharmacy | 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 | 2009-10-05 |
| 1144355116 | Forsyth County North Carolina | Pharmacy | 725 N. Highland Ave, Winston-salem, NC 27101-4299 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
Please comment or provide details below to improve the information on DAVIE COUNTY HEALTH DEPARTMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.