Healthcare Provider Details

I. General information

NPI: 1356396428
Provider Name (Legal Business Name): NORTHAMPTON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9495 NC 305 HIGHWAY
JACKSON NC
27845-0635
US

IV. Provider business mailing address

PO BOX 635
JACKSON NC
27845-0635
US

V. Phone/Fax

Practice location:
  • Phone: 252-534-5841
  • Fax: 252-534-1045
Mailing address:
  • Phone: 252-534-5841
  • Fax: 252-534-1045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0530
License Number StateNC

VIII. Authorized Official

Name: MS. SUE G GAY
Title or Position: HEALTH DIRECTOR
Credential: RN
Phone: 252-534-1291