Granville Vance Community Health Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

GRANVILLE VANCE COMMUNITY HEALTH INC.

Doing business as

Clinical Services

Practice address

115 Charles Rollins Rd
Henderson, NC 27536-2946

Phone

(252) 492-7915

NPI assigned

Jul 3, 2024

Organization subpart

Yes

Parent organization

GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENTAs reported in NPPES

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

Authorized official

Name

Mary E Harrison

Title

Health Director

Phone

(919) 614-3447

Specialties & licenses 9

Addresses

Other names 1

• Clinical Services Doing business as

Tax ID family

Vance Co Health Dept2 organizations share this tax ID, including this one

Part of

Vance Co Health Dept

Other organizations with this tax ID 1

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

• Granville-Vance District Health Department

  • Home Health Agency
  • Oxford, NC
  • NPI 1639179419
  NPD tax ID

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1437995081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650367",
            "telephone_number": "919-693-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHARLES ROLLINS RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362946",
            "telephone_number": "252-492-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE VANCE COMMUNITY HEALTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "919-614-3447"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Fleener Glatt, MSW
• Richard A Goldstein, MD
• Good News Health Care, Inc (Good News Home Care)
• James Oscar Goodwin, MD
• Crystal Parker Grant
• Granville-Vance District Health Department (Granville-Vance Home Health Agency)
• Nancy Gray-Terry, MSW, LCSW
• Brandon S Gray, COHC
• Lara Royster Gray, AU.D.
• Green & Co. Wellness Collective, PLLC

• Community Health Clinic/Center in Henderson, NC
• Providers in Henderson, NC by specialty
• Community Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.