WAYNE COUNTY HEALTH DEPARTMENT - IMM
NPI 1962541367
Clinic/Center - Public Health, State or Local in Goldsboro, NC

NPI Status: Active since February 05, 2007

Contact Information

301 N HERMAN ST
GOLDSBORO, NC
ZIP 27530
Phone: (919) 731-1000
Fax: (919) 731-1232

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  • Organization
  • Clinic/Center
  • Public Health, State or Local
  • CLIA Number: 34D0931166
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 07-23-2027

About WAYNE COUNTY HEALTH DEPARTMENT - IMM

This page provides the complete NPI Profile along with additional information for Wayne County Health Department - Imm, a primary care provider established in Goldsboro, North Carolina operating as a Clinic/center, focusing in public health, state or local . The healthcare provider is registered in the NPI registry with number 1962541367 assigned on February 2007. The practitioner's primary taxonomy code is 261QP0905X with license number 7221 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Wayne County Health Department - Imm. The authorized official of this NPI record is Mr. Davin Madden (Health Director)

NPI
1962541367
Provider Legal Name
WAYNE COUNTY EMS
Other Organization Name
WAYNE COUNTY HEALTH DEPARTMENT - IMM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
301 N HERMAN ST GOLDSBORO, NC 27530
Location Phone
(919) 731-1000
Location Fax
(919) 731-1232
Mailing Address
301 N HERMAN ST BOX CC GOLDSBORO, NC 27530
Mailing Phone
(919) 731-1000
Mailing Fax
(919) 731-1232
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2007
Last Update Date
04-02-2020
Code Navigator

A primary care provider (PCP) like Wayne County Health Department - Imm sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Public Health, State or Local

Taxonomy Code
261QP0905X
Type
Ambulatory Health Care Facilities
License No.
7221
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

7221 (NC)
23336C0002XSuppliers

Pharmacy
Clinic Pharmacy

03873 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVIN MADDEN

Authorized Official Title
HEALTH DIRECTOR
Authorized Official Phone
(919) 705-1934

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0931166
Facility Type
Mobile Laboratory
Certificate Effective Date
July 24, 2025
Certificate Expiration Date
July 23, 2027
Laboratory Director
TERRY A. GRANT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wayne County Health Department - Imm to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962541367, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 4 + 2 + 3 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1962541367.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Nurse Practitioner (Women's Health)
301 N HERMAN ST
GOLDSBORO, NC 27530
Clinical Nurse Specialist (Women's Health)
301 N HERMAN ST
GOLDSBORO, NC 27530
Dietitian, Registered
301 N HERMAN ST, BOX CC
GOLDSBORO, NC 27530
Public Health or Welfare
301 N HERMAN ST, BOX HH
GOLDSBORO, NC 27530
Nutritionist
301 N HERMAN ST, BOX CC WIC
GOLDSBORO, NC 27530
Dietitian, Registered
301 N HERMAN ST
GOLDSBORO, NC 27530
Clinic/Center
301 N HERMAN ST
GOLDSBORO, NC 27530
Clinic/Center (Public Health, State or Local)
301 N HERMAN ST
GOLDSBORO, NC 27530
Dietitian, Registered
301 N HERMAN ST
GOLDSBORO, NC 27530
Dietitian, Registered
301 N HERMAN ST, BOX CC
GOLDSBORO, NC 27530
Dietitian, Registered
301 N HERMAN ST
GOLDSBORO, NC 27530
Dietitian, Registered
301 N HERMAN ST
GOLDSBORO, NC 27530
Dentist (Dental Public Health)
301 N HERMAN ST, SUITE CC
GOLDSBORO, NC 27530
Internal Medicine
301 N HERMAN ST
GOLDSBORO, NC 27530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962541367, enumerated as an "organization" on February 05, 2007.

The provider is located at 301 N HERMAN ST GOLDSBORO, NC 27530 and the phone number is (919) 731-1000.

Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.