CLARA F. GUNN MEDICAL CENTER
NPI 1962741421
Clinic/Center - Federally Qualified Health Center (FQHC) in Reidsville, NC

Active since February 04, 2013
922 THIRD AVE, REIDSVILLE, NC 27320(336) 355-9913(336) 637-8091 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clara F. Gunn Medical Center NPPES

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

CLARA F. GUNN MEDICAL CENTER (NPI 1962741421) is a healthcare organization registered as a federally qualified health center (fqhc) in Reidsville, North Carolina and active in the NPI registry since February 2013. The organization lists Michelle A. Lewis, Interim Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1962741421
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRIAD ADULT AND PEDIATRIC MEDICINE, INC
Location Address922 THIRD AVEReidsville, NC 27320-4440
Mailing Address1002 S Eugene StGreensboro, NC 27406-1308 · (336) 355-9715 · Fax (336) 763-2896
Fax(336) 637-8091
Organization SubpartNo
Authorized OfficialMichelle A. LewisInterim Chief Executive Officer · (336) 355-9715
Enumeration DateFebruary 4, 2013
Last NPPES UpdateApril 20, 2015
NPI 1962741421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
922 THIRD AVE, Reidsville, NC 27320

Other Names 1

Other NameClara F. Gunn Medical Center

Other Identifiers 1

Medicaid1962741421NC

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 Triad Adult And Pediatric Medicine, Inc's NPI number?

The NPI number for Triad Adult And Pediatric Medicine, Inc is 1962741421. It was assigned to this organization in the NPPES registry on February 4, 2013. The provider is also known as Clara F. Gunn Medical Center.

Where is Triad Adult And Pediatric Medicine, Inc located?

Triad Adult And Pediatric Medicine, Inc is located at 922 Third Ave, Reidsville, NC 27320. The listed phone number is (336) 355-9913.

What is Triad Adult And Pediatric Medicine, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Triad Adult And Pediatric Medicine, Inc was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.