1699201830 NPI number — COUNTY OF GRAHAM

Table of content: (NPI 1699201830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699201830 NPI number — COUNTY OF GRAHAM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF GRAHAM
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:
Provider Other Organization Name Type Code:
6
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:
1699201830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1848
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROBBINSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28771-1848
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-479-7900
Provider Business Mailing Address Fax Number:
828-479-7902

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROBBINSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28771-9054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-479-7900
Provider Business Practice Location Address Fax Number:
828-479-7902
Provider Enumeration Date:
05/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
CARPENTER
Authorized Official First Name:
STACY
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE OFFICER
Authorized Official Telephone Number:
828-479-7770

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  8743 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3404338 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com