1871637975 NPI number — COUNTY OF LEE NORTH CAROLINA

Table of content: (NPI 1871637975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871637975 NPI number — COUNTY OF LEE NORTH CAROLINA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF LEE NORTH CAROLINA
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:
LEE 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:
1871637975
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 HILLCREST DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANFORD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27330-4021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-718-4640
Provider Business Mailing Address Fax Number:
919-718-4632

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 HILLCREST DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27330-4021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-718-4640
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE OFFICER/ ADMINISTRATION
Authorized Official Telephone Number:
919-718-4640

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QC1500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP0905X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0728M . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3404353 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011U5 . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1871637975 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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