Organization Active NPI

Guilford Adult Health, Inc.

Doing business as Guilford Community Care Network

  • Dental Clinic/Center
  • Greensboro, NC
National Provider Identifier
1316478431
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GUILFORD ADULT HEALTH, INC.
Doing business as
Guilford Community Care Network
Practice address
1103 W Friendly Ave
Greensboro, NC 27401-1863
Phone
(336) 641-4533
Fax
(336) 641-5859
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Mrs. Lisa Duck, MPH, MCHES
Title
Executive Director
Phone
(336) 895-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1103 W Friendly Ave
Greensboro, NC 27401-1863

Mailing address

612 Pasteur Dr
Suite 108
Greensboro, NC 27403-1149
Phone (336) 895-4900

Other names 1

  • Guilford Community Care Network Doing business as

National Provider Directory

National Provider Directory

Locations

1103 W Friendly Ave
Greensboro, NC 27401
Phone (336) 272-0576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1316478431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "SUITE 108",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031149",
            "telephone_number": "336-895-4900",
            "fax_number": "800-325-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011863",
            "telephone_number": "336-641-4533",
            "fax_number": "336-641-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD ADULT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-895-4900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, MCHES"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guilford Community Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 21, 2017; 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.