NPIMap

Organization Active NPI

County of Davidson

  • State or Local Public Health Clinic/Center
  • Lexington, NC
National Provider Identifier
1063705267
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF DAVIDSON
Practice address
915 N Greensboro St
Lexington, NC 27292-2699
Phone
(336) 242-2300
Fax
(336) 242-2485
NPI assigned
May 20, 2011
Organization subpart
Yes
Parent organization
COUNTY OF DAVIDSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Mrs. Lillian Koontz, M.P.A, R.E.H.S
Title
Health Director
Phone
(336) 242-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

915 N Greensboro St
Lexington, NC 27292-2699

Mailing address

915 Greensboro St
Lexington, NC 27292
Phone (336) 242-2300

Other identifiers 1

IdentifierTypeStateIssuer
0727FOtherNCBCBS IMM

Other names 1

  • Davidson County Health Department-BCBS Imm Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Davidson6 organizations share this tax ID, including this one
Part of
County of Davidson

Other organizations with this tax ID 5

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": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1063705267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GREENSBORO ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27292",
            "telephone_number": "336-242-2300",
            "fax_number": "336-242-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GREENSBORO ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272922699",
            "telephone_number": "336-242-2300",
            "fax_number": "336-242-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DAVIDSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DAVIDSON",
        "enumeration_date": "2011-05-20",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-242-2349",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.P.A, R.E.H.S"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IMM",
            "identifier": "0727F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson County Health Department-BCBS Imm",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davidson County Health Department-BCBS Imm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.