Active NPI
County of Union
Doing business as Union Co Hlth Dept - Dental Clinic
- Dental Clinic/Center
- Monroe, NC
National Provider Identifier
1477759710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- COUNTY OF UNION
- Doing business as
- Union Co Hlth Dept - Dental Clinic
- Practice address
- 1224 W Roosevelt Blvd
Monroe, NC 28110-2820 - Phone
- (704) 296-4800
- NPI assigned
- Jun 25, 2007
- Last updated
- Jun 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Belk
- Title
- Director of Business Services
- Phone
- (704) 296-4816
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NU | ||
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1224 W Roosevelt Blvd
Monroe, NC 28110-2820
Mailing address
1224 W Roosevelt Blvd
Monroe, NC 28110-2820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900104 | Medicaid | NC |
Other names 1
- Union Co Hlth Dept - Dental Clinic
National Provider Directory
National Provider Directory- Tax ID family
- County of Union
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Monroe, NC
- NPI 1548513633
-
dba Union Co Hlth Dept - HIV Case Management
- Case Management Agency
- Monroe, NC
- NPI 1720121866
Locations
1224 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 296-4800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1477759710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102820",
"telephone_number": "704-296-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF UNION",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "BELK",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
"authorized_official_telephone_number": "704-296-4816"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900104",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Union Co Hlth Dept - Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monroe, NC
- Jennifer Arlette Corbett
- Cornerstone Caregiving East LLC
- Cornerstone Ear Nose & Throat PA
- Robert Kenneth Costa, MD
- County of Union (Union Co Hlth Dept - Clinical Services)
- County of Union
- County of Union (Union Co Hlth Dept - HIV Case Management)
- Audrey Courtney
- Covenantal Health PLLC
- Adriene Covington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.