Healthcare Provider Details

I. General information

NPI: 1083651434
Provider Name (Legal Business Name): COUNTY OF YADKIN OFFICE OF TREASURER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CHERRY ST
BOONVILLE NC
27011-9352
US

IV. Provider business mailing address

PO BOX 998
YADKINVILLE NC
27055-0998
US

V. Phone/Fax

Practice location:
  • Phone: 336-679-4232
  • Fax: 336-679-7646
Mailing address:
  • Phone: 336-679-4232
  • Fax: 336-679-7646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. DALE T TRIVETTE
Title or Position: EMS DIRECTOR
Credential:
Phone: 336-679-4232