Healthcare Provider Details

I. General information

NPI: 1871555433
Provider Name (Legal Business Name): COUNTY OF STOKES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 NORTH MAIN STREET
DANBURY NC
27016-0187
US

IV. Provider business mailing address

PO BOX 187
DANBURY NC
27016-0187
US

V. Phone/Fax

Practice location:
  • Phone: 336-593-2401
  • Fax: 336-593-3500
Mailing address:
  • Phone: 336-593-2401
  • Fax: 336-593-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0517
License Number StateNC

VIII. Authorized Official

Name: MR. SCOTT LENHART
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: MPH
Phone: 336-593-2400