Provider Demographics
NPI:1922853316
Name:COUNTY OF RANDOLPH
Entity Type:Organization
Organization Name:COUNTY OF RANDOLPH
Other - Org Name:RANDOLPH COUNTY PUBLIC HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL FINANCE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-318-6228
Mailing Address - Street 1:2222 S FAYETTEVILLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-7368
Mailing Address - Country:US
Mailing Address - Phone:336-318-6228
Mailing Address - Fax:336-318-6186
Practice Address - Street 1:2222 S FAYETTEVILLE ST STE B
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-7368
Practice Address - Country:US
Practice Address - Phone:336-318-6228
Practice Address - Fax:336-318-6186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or LocalGroup - Single Specialty