Healthcare Provider Details

I. General information

NPI: 1255466652
Provider Name (Legal Business Name): GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E GREEN DR BEHAVIORAL HEALTH SERVICES
HIGH POINT NC
27260-6707
US

IV. Provider business mailing address

1100 E WENDOVER AVE BEHAVIORAL HEALTH ADMINISTRATION
GREENSBORO NC
27405-6713
US

V. Phone/Fax

Practice location:
  • Phone: 336-845-7990
  • Fax: 336-845-7987
Mailing address:
  • Phone: 336-641-7777
  • Fax: 336-641-6971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNC

VIII. Authorized Official

Name: HARVETTE C JENKINS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 336-641-7777