Organization Active NPI

Forsyth County

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1346626587
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
FORSYTH COUNTY
Practice address
501 N Cleveland Ave Ste 1
Winston Salem, NC 27101-4366
Phone
(336) 703-3101
NPI assigned
Aug 10, 2015
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FORSYTH COUNTY DBA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mr. Joshua Swift
Title
Health Director
Phone
(336) 703-3117

Specialties & licenses 1

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

Addresses

Primary practice location

501 N Cleveland Ave Ste 1
Winston Salem, NC 27101-4366

Mailing address

501 N Cleveland Ave Ste 1
Winston Salem, NC 27101-4366
Phone (336) 703-3101

Other identifiers 1

IdentifierTypeStateIssuer
3404334MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Forsyth County NC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

501 N Cleveland Ave
Ste 1
Winston Salem, NC 27101
Phone (336) 631-2330

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1346626587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CLEVELAND AVE STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014366",
            "telephone_number": "336-703-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CLEVELAND AVE STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014366",
            "telephone_number": "336-703-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORSYTH COUNTY DBA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-703-3117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.