Healthcare Provider Details

I. General information

NPI: 1306976410
Provider Name (Legal Business Name): YANCEY CO HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 MEDICAL CAMPUS DR
BURNSVILLE NC
28714-9004
US

IV. Provider business mailing address

202 MEDICAL CAMPUS DR
BURNSVILLE NC
28714-9004
US

V. Phone/Fax

Practice location:
  • Phone: 828-682-6118
  • Fax: 828-682-6262
Mailing address:
  • Phone: 828-682-6118
  • Fax: 828-682-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNDA KINNANE
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-765-2239