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

Active since February 05, 2007CLIA 34D0931166 · Waiver
301 N HERMAN ST, GOLDSBORO, NC 27530(919) 731-1000(919) 731-1232 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne County Health Department - Imm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE COUNTY HEALTH DEPARTMENT - IMM (NPI 1962541367) is a healthcare organization registered as a public health, state or local in Goldsboro, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Davin Madden, Health Director, as its authorized official.

NPPES Registry Identity

NPI1962541367
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameWAYNE COUNTY EMS
Location Address301 N HERMAN STGoldsboro, NC 27530-2973
Mailing Address301 N Herman St, Box CcGoldsboro, NC 27530-2973 · (919) 731-1000 · Fax (919) 731-1232
Phone(919) 731-1000
Fax(919) 731-1232
Organization SubpartNo
Authorized OfficialDavin MaddenHealth Director · (919) 705-1934
Enumeration DateFebruary 5, 2007
Last NPPES UpdateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1962541367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
License✔ Licensed in NC · 7221
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 7221 (NC)
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X · License 03873 (NC)
301 N HERMAN ST, Goldsboro, NC 27530
Open in Google Maps ↗

Other Names 1

Other NameWayne County Health Department - Imm

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0931166

Wayne County Ems Services · Goldsboro, NC
Active · expires Jul 23, 2027
CLIA Number34D0931166
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorTerry A. Grant
Laboratory Phone(919) 731-1416
Laboratory LocationWayne County Ems ServicesPO Box 227, Goldsboro, NC 27530
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF WAYNE
Clinic/Center
301 N HERMAN ST
GOLDSBORO, NC 27530
Wayne County (919) 731-1000
MRS. ASHLEIGH VICTORIA BARFIELD MS, RD, LDN
Dietitian, Registered
301 N HERMAN ST
GOLDSBORO, NC 27530
Wayne County (919) 731-1000
ASHTON MUDD COOPER MS, RD, LDN
Dietitian, Registered
301 N HERMAN ST, BOX CC
GOLDSBORO, NC 27530
Wayne County (919) 731-1222
SUE JENNETTE
Clinical Nurse Specialist (Women's Health)
301 N HERMAN ST
GOLDSBORO, NC 27530
Wayne County (919) 731-1000
JUANITA BRITT
Nurse Practitioner (Women's Health)
301 N HERMAN ST
GOLDSBORO, NC 27530
Wayne County (919) 731-1000
MRS. STEPHANIE MORRIS HOWARD MS, RD,LDN
Dietitian, Registered
301 N HERMAN ST, BOX CC
GOLDSBORO, NC 27530
Wayne County (919) 731-1220
WAYNE CO DSS
Public Health or Welfare
301 N HERMAN ST, BOX HH
GOLDSBORO, NC 27530
Wayne County (919) 731-1157
ANNA RICHARDS RD, LDN
Dietitian, Registered
301 N HERMAN ST
GOLDSBORO, NC 27530
Wayne County (919) 731-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne County Ems's NPI number?

The NPI number for Wayne County Ems is 1962541367. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is also known as Wayne County Health Department - Imm.

Where is Wayne County Ems located?

Wayne County Ems is located at 301 N Herman St, Goldsboro, NC 27530. The listed phone number is (919) 731-1000.

What is Wayne County Ems's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Does Wayne County Ems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0931166) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wayne County Ems was last updated on April 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.