Healthcare Provider Details
I. General information
NPI: 1528133733
Provider Name (Legal Business Name): COUNTY OF CATAWBA OFFICE OF ACCOUNTANT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2006
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3050 11TH AVENUE DR SE
HICKORY NC
28602-8336
US
IV. Provider business mailing address
3050 11TH AVENUE DR SE
HICKORY NC
28602-8336
US
V. Phone/Fax
- Phone: 828-695-6500
- Fax: 828-695-4729
- Phone: 828-695-6500
- Fax: 828-695-4729
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 8300209 |
| Identifier Type | MEDICAID |
| Identifier State | NC |
| Identifier Issuer | |
VIII. Authorized Official
Name:
JANINE
SZYMANSKI
Title or Position: CLINICAL DIRECTOR
Credential: LPA
Phone: 828-695-6500