NPIMap

Organization Active NPI

Uncg Minerva Mobile Health Unit

  • Health Service Clinic/Center
  • Greensboro, NC
National Provider Identifier
1033931019
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
UNCG MINERVA MOBILE HEALTH UNIT
Practice address
1007 Walker Ave BLDG 525M
Greensboro, NC 27412-0001
Phone
(336) 334-5640
NPI assigned
Oct 30, 2024
Organization subpart
Yes
Parent organization
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBOROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joy M Dismukes
Title
Director of Sponsored Programs
Phone
(336) 334-5640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1007 Walker Ave BLDG 525M
Greensboro, NC 27412-0001

Mailing address

1007 Walker Ave BLDG 525M
Greensboro, NC 27403
Phone (336) 334-5640

Other names 1

  • UNCG Minerva Mobile Health Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Uncg Psychology Clinic11 organizations share this tax ID, including this one
Part of
Uncg Psychology Clinic

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1033931019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WALKER AVE BLDG 525M",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-334-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 WALKER AVE BLDG 525M",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274120001",
            "telephone_number": "336-334-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCG MINERVA MOBILE HEALTH UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "DISMUKES",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF SPONSORED PROGRAMS",
        "authorized_official_telephone_number": "336-334-5640"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNCG Minerva Mobile Health Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.