Healthcare Provider Details

I. General information

NPI: 1144361726
Provider Name (Legal Business Name): COUNTY OF RICHMOND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 CAROLINE ST
ROCKINGHAM NC
28379-3567
US

IV. Provider business mailing address

127 CAROLINE ST
ROCKINGHAM NC
28379-3567
US

V. Phone/Fax

Practice location:
  • Phone: 910-997-8300
  • Fax: 910-997-8336
Mailing address:
  • Phone: 910-997-8300
  • Fax: 910-997-8336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare 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 TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. TOMMY JARRELL
Title or Position: HEALTH DIRECTOR
Credential: PHD
Phone: 910-997-8300