Healthcare Provider Details

I. General information

NPI: 1184785040
Provider Name (Legal Business Name): COUNTY OF SAMPSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 COUNTY COMPLEX RD
CLINTON NC
28328-4778
US

IV. Provider business mailing address

360 COUNTY COMPLEX RD
CLINTON NC
28328-4778
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-1131
  • Fax: 910-592-1901
Mailing address:
  • Phone: 910-592-1131
  • Fax: 910-592-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. WANDA W ROBINSON
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 910-592-1131