NPIMap

Organization Active NPI

Person County Health Department

  • State or Local Public Health Clinic/Center
  • Roxboro, NC
National Provider Identifier
1629145305
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
PERSON COUNTY HEALTH DEPARTMENT
Practice address
355 S Madison Blvd
Ste a
Roxboro, NC 27573-5485
Phone
(336) 597-2204
Fax
(336) 597-4804
NPI assigned
Nov 29, 2006
Organization subpart
Yes
Parent organization
COUNTY OF PERSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Janet O Clayton
Title
Health Director
Phone
(336) 597-2204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

355 S Madison Blvd
Ste a
Roxboro, NC 27573-5485

Mailing address

355 S Madison Blvd
Ste a
Roxboro, NC 27573-5485
Phone (336) 597-2204

Other identifiers 1

IdentifierTypeStateIssuer
3404421MedicaidNC

Other names 1

  • Outreach and Clinic Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Person Co Health Dept7 organizations share this tax ID, including this one
Part of
Person Co Health Dept

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1629145305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S MADISON BLVD",
            "address_2": "STE A",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735485",
            "telephone_number": "336-597-2204",
            "fax_number": "336-597-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S MADISON BLVD",
            "address_2": "STE A",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735485",
            "telephone_number": "336-597-2204",
            "fax_number": "336-597-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF PERSON",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-597-2204"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404421",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach and Clinic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.