Provider Demographics
NPI:1881834232
Name:GUILFORD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:GUILFORD COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAMIEKA
Authorized Official - Middle Name:SHANNELL
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:I
Authorized Official - Credentials:NURSE- AID
Authorized Official - Phone:336-641-6124
Mailing Address - Street 1:1100 E WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6713
Mailing Address - Country:US
Mailing Address - Phone:336-641-6124
Mailing Address - Fax:
Practice Address - Street 1:210 KINNLEY CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-0970
Practice Address - Country:US
Practice Address - Phone:336-617-8866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC265670261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health