Provider Demographics
NPI:1083940795
Name:STOKES FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:STOKES FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIFT
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:336-593-2400
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:1009 MAIN STREET
Mailing Address - City:DANBURY
Mailing Address - State:NC
Mailing Address - Zip Code:27016-0187
Mailing Address - Country:US
Mailing Address - Phone:336-593-2400
Mailing Address - Fax:336-593-9361
Practice Address - Street 1:1009 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:NC
Practice Address - Zip Code:27016-0187
Practice Address - Country:US
Practice Address - Phone:336-593-2400
Practice Address - Fax:336-593-9361
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STOKES FAMILY HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004494261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)