Healthcare Provider Details

I. General information

NPI: 1760502686
Provider Name (Legal Business Name): ALAMANCE COUNTY GOVT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 N. GRAHAM-HOPEDALE ROAD SUITE C
BURLINGTON NC
27217-2992
US

IV. Provider business mailing address

319 N. GRAHAM-HOPEDALE ROAD SUITE C
BURLINGTON NC
27217-2992
US

V. Phone/Fax

Practice location:
  • Phone: 336-570-6532
  • Fax: 336-570-6538
Mailing address:
  • Phone: 336-578-6532
  • Fax: 336-570-6538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CANDICE GOBBLE
Title or Position: DIRECTOR
Credential:
Phone: 336-229-2942