Healthcare Provider Details

I. General information

NPI: 1851457196
Provider Name (Legal Business Name): ALAMANCE COUNTY GOVT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 N GRAHAM HOPEDALE RD FL B
BURLINGTON NC
27217-2992
US

IV. Provider business mailing address

319 N GRAHAM HOPEDALE RD FL B
BURLINGTON NC
27217-2992
US

V. Phone/Fax

Practice location:
  • Phone: 336-513-2259
  • Fax: 336-513-5593
Mailing address:
  • Phone: 336-513-2259
  • Fax: 336-513-5593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERESA OVERMAN
Title or Position: ADMINISTRATIVE OFFICER
Credential:
Phone: 336-513-2257