1760576722 NPI number — ORANGE COUNTY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760576722 NPI number — ORANGE COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORANGE COUNTY
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:
ORANGE COUNTY HEALTH DEPARTMENT
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:
1760576722
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 W TRYON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLSBOROUGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27278-2438
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-245-2477
Provider Business Mailing Address Fax Number:
919-644-3007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 W TRYON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSBOROUGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27278-2438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-245-2477
Provider Business Practice Location Address Fax Number:
919-644-3007
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STEWART
Authorized Official First Name:
QUINTANA
Authorized Official Middle Name:
Authorized Official Title or Position:
HEALTH DIRECTOR
Authorized Official Telephone Number:
919-245-2411

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP0905X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP2300X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 022K2 . This is a "BCBS NUTRITION" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2803148 . This is a "MEDICARE ROSTER BILLING" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3404475 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9017814 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 025CT(PRIMARY CARE) . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2994347 . This is a "MEDICARE(NUTRITION)" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 022PN . This is a "BCBS NC (IMMUNIZING HEALTH CENTER)" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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