COUNTY OF BRUNSWICK


Address: 25 Courthouse Dr. Ne, Bolivia, NC 28422-0009
Phone: 9102532250

COUNTY OF BRUNSWICK (NPI# 1841248622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841248622
Entity Type Organization
Organization Name COUNTY OF BRUNSWICK
Practice Address 25 Courthouse Dr. Ne
Bolivia
NC 28422-0009
Mailing Address 25 Courthouse Dr., Ne
Bolivia
NC 28422-0009
Practice Telephone 9102532250
Practice Fax Number 9102532387
Mailing Telephone 9102532250
Mailing Fax Number 9102532387
Enumeration Date 2006-05-04
Last Update Date 2011-11-09
Authorized Official Name MR. DAVID STANLEY (HEALTH DIRECTOR)
Authorized Official Telephone 9102532274
Authorized Official Credential MPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management ========= NC Agencies
N 261QC1500X Clinic/Center
Specialization: Community Health
========= NC Ambulatory Health Care Facilities
N 261QD0000X Clinic/Center
Specialization: Dental
========= NC Ambulatory Health Care Facilities
N 261QF0050X Clinic/Center
Specialization: Family Planning, Non-Surgical
========= NC Ambulatory Health Care Facilities
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
========= NC Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
========= NC Ambulatory Health Care Facilities
N 291U00000X Clinical Medical Laboratory 34D0245906 NC Laboratories
N 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
04210 NC Suppliers
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
========= NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC BLUE CROSS BLUE SHIELD 070900 01
NC MEDCOST 194741 01
NC 3404310 05
NC CIGNA 80888 01
NC 3404476 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548391972 County of Brunswick Nursing Care 60 Government Center Drive, Bolivia, NC 28422-0219 2007-03-08
1356498794 County of Brunswick Clinic/Center 75 Stamp Act Dr, Bolivia, NC 28422-8320 2007-01-05
1265602304 County of Brunswick Case Management 60 Government Center Drive, Bolivia, NC 28422-0219 2008-03-05

Office Location

Street Address 25 COURTHOUSE DR. NE
City BOLIVIA
State NC
Zip Code 28422-0009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336144518 Victoria Edwards Smith Nurse Practitioner 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 2005-06-15
1043599376 Brunswick County Health Department Public Health or Welfare 25 Courthouse Dr. Ne, Bolivia, NC 28422-0009 2011-08-04
1891829008 Shelton M Hisley Nurse Practitioner 25 Courthouse Dr. Ne, Bolivia, NC 28422 2007-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023616596 Riccobene and Associates Xli, Dds, P.a. Dentist 211 Midway Commons, Suite 116, Bolivia, NC 28422 2020-10-15
1962029942 Novant Medical Group. Inc. Family Medicine 150 College Rd Ne, Bolivia, NC 28422 2020-06-25
1033730866 Tamika Jocinda Yushaw Social Worker 25 Courthouse Drive Ne, Bolivia, NC 28422 2020-05-04
1821648882 Daniel Burk Physician Assistant 584 Hospital Drive Suite A, Bolivia, NC 28422 2019-09-12
1427452283 East Carolina University School of Dental Medicine-brunswick Dentist 100 Brunswick Medical Center Parkway, Bolivia, NC 28422 2014-10-22
1689080632 Cecilia Liu Dentist 3071 Southport Supply Rd Se, Bolivia, NC 28422 2014-07-09
1922372341 Lorie L Harding Physician Assistant 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 2012-03-02
1902095383 Cayce Mccall Patterson Physical Therapist 35 Referendum Dr, Brunswick County Schools, Bolivia, NC 28422 2007-10-22
1235288622 Susan Beth Kam Psychologist 63 Stamp Act Drive, Bolivia, NC 28422 2007-01-09
1578632477 Sarah E Oxford Case Manager/Care Coordinator 63 Stamp Act Dr, Building M, Bolivia, NC 28422 2006-11-06
Find all providers in zip 28422

Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356498794 County of Brunswick Clinic/Center 75 Stamp Act Dr, Bolivia, NC 28422-8320 2007-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134670607 Appalachian District Health Department Clinic/Center 255 Northwest Ln, Warrensville, NC 28693-9244 2016-10-20
1346626587 Forsyth County Dba Cleveland Avenue Dental Center Clinic/Center 501 N Cleveland Ave Ste 1, Winston Salem, NC 27101-4366 2015-08-10
1912031873 Wakecountyhumanservices Clinic/Center 400 Triple Crown Cir, Clayton, NC 27527-6275 2007-03-15
1023172228 Cherokee County Clinic/Center 228 Hilton St, Murphy, NC 28906-2814 2006-12-21
1619058955 County of Franklin Clinic/Center 107 Industrial Drive, Suite C, Louisburg, NC 27549 2006-10-17
1225076615 Dimensions Healthcare, LLC Clinic/Center 1421c S Glenburnie Rd, New Bern, NC 28562-2603 2006-06-04
1316914534 County of Stokes Clinic/Center 1009 N. Main Street, Danbury, NC 27016-0187 2006-03-07
1770183436 County of Pitt Office of Auditor Clinic/Center 201 Government Cir, Greenville, NC 27834-8198 2020-10-30
1518518901 The Caswell Family Medical Center, Inc Clinic/Center 189 County Park Rd, Yanceyville, NC 27379-9376 2019-09-26
1487159042 Martha A Robinson Clinic/Center 1100 E Wendover Ave, Greensboro, NC 27405-6713 2018-03-27
Find all providers with the same taxonomy

Competitor

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City BOLIVIA
Zip Code 28422

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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