NPIMap

Organization Active NPI

Forsyth County North Carolina

  • State or Local Public Health Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1396899498
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
FORSYTH COUNTY NORTH CAROLINA
Practice address
799 Highland Ave
Winston Salem, NC 27101-4206
Phone
(336) 703-3117
Fax
(336) 727-8062
NPI assigned
Jan 23, 2007
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FORSYTH COUNTY NORTH CAROLINAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Mr. Marlon B Hunter
Title
Health Director
Phone
(336) 703-3099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

799 Highland Ave
Winston Salem, NC 27101-4206

Mailing address

PO Box 686
Winston Salem, NC 27102-0686
Phone (336) 703-3117

Other identifiers 1

IdentifierTypeStateIssuer
3408318MedicaidNC

Other names 1

  • Forsyth Co. HD-CAPC Other name

National Provider Directory

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

Other organizations with this tax ID 6

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1396899498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020686",
            "telephone_number": "336-703-3117",
            "fax_number": "336-727-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 HIGHLAND AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014206",
            "telephone_number": "336-703-3117",
            "fax_number": "336-727-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH COUNTY NORTH CAROLINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORSYTH COUNTY NORTH CAROLINA",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-703-3099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "3408318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forsyth Co. HD-CAPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 25, 2013; 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.