Healthcare Provider Details

I. General information

NPI: 1205997194
Provider Name (Legal Business Name): COUNTY OF CATAWBA OFFICE OF ACCOUNTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 11TH AVENUE DR SE
HICKORY NC
28602-8336
US

IV. Provider business mailing address

3070 11TH AVENUE DR SE
HICKORY NC
28602-8336
US

V. Phone/Fax

Practice location:
  • Phone: 828-695-5849
  • Fax: 828-695-6618
Mailing address:
  • Phone: 828-695-5849
  • Fax: 828-695-6618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0490
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: DOUGLAS W URLAND
Title or Position: HEALTH DIRECTOR
Credential: MPA
Phone: 828-695-5801