Provider Demographics
NPI:1245272657
Name:COUNTY OF GUILFORD
Entity type:Organization
Organization Name:COUNTY OF GUILFORD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PH PHYSICIAN/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-641-7777
Mailing Address - Street 1:1203 MAPLE ST
Mailing Address - Street 2:PH ADMINISTRATION
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6910
Mailing Address - Country:US
Mailing Address - Phone:336-641-7777
Mailing Address - Fax:336-641-6971
Practice Address - Street 1:1100 E WENDOVER AVE
Practice Address - Street 2:GCDPH GREENSBORO
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6713
Practice Address - Country:US
Practice Address - Phone:336-641-7777
Practice Address - Fax:336-641-6971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X, 261QU0200X, 3336C0002X, 261QC1500X, 261QD0000X, 261QM1000X, 261QM2500X, 261QF0050X, 251S00000X, 251B00000X, 261QP0905X
NC34D0238958291U00000X
NC34D0664205291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic Pharmacy
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404341Medicaid
NC07124OtherBLUE CROSS BLUE SHIELD
NCAS34604210001OtherCIGNA HEALTHCARE
NC01-07677OtherUNITED HEALTHCARE
NC5905172Medicaid
NC07124OtherBLUE CROSS BLUE SHIELD