Healthcare Provider Details

I. General information

NPI: 1619003605
Provider Name (Legal Business Name): COUNTY OF CALDWELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 MORGANTON BLVD SW STE B
LENOIR NC
28645-4973
US

IV. Provider business mailing address

2345 MORGANTON BLVD SUITE B
LENOIR NC
28645-5311
US

V. Phone/Fax

Practice location:
  • Phone: 828-426-8400
  • Fax: 828-426-8450
Mailing address:
  • Phone: 828-426-8400
  • Fax: 828-426-8450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE M. MICHAUD
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-426-8415