Healthcare Provider Details

I. General information

NPI: 1154456986
Provider Name (Legal Business Name): COUNTY OF GUILFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 MAPLE ST CAP SERVICES
GREENSBORO NC
27405-6910
US

IV. Provider business mailing address

1203 MAPLE ST CAP ADMINISTRATION
GREENSBORO NC
27405-6910
US

V. Phone/Fax

Practice location:
  • Phone: 336-641-7777
  • Fax: 336-641-6971
Mailing address:
  • Phone: 336-641-7777
  • Fax: 336-641-6971

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 Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34D0238958
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34D0664205
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE BEY
Title or Position: PH PHYSICIAN/MEDICAL DIRECTOR
Credential: MD
Phone: 336-641-7777