1144301045 NPI number — COUNTY OF DAVIE OFFICE OF FINANCE AGENT

Table of content: (NPI 1144301045)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144301045 NPI number — COUNTY OF DAVIE OFFICE OF FINANCE AGENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF DAVIE OFFICE OF FINANCE AGENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DAVIE COUNTY HEALTH DEPARTMENT & HOME HEALTH AGENCY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144301045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 848
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOCKSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27028-0848
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-753-6750
Provider Business Mailing Address Fax Number:
336-751-0335

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 HOSPITAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOCKSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27028-2039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-753-6750
Provider Business Practice Location Address Fax Number:
336-751-0335
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
HEALTH DIRECTOR
Authorized Official Telephone Number:
336-753-6750

Provider Taxonomy Codes

  • Taxonomy code: 261QC1500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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