Healthcare Provider Details
I. General information
NPI: 1265556823
Provider Name (Legal Business Name): COUNTY OF CARTERET COURTHOUSE SQUARE FINANCE OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2007
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3820 BRIDGES ST SUITE A
MOREHEAD CITY NC
28557-2918
US
IV. Provider business mailing address
3820 BRIDGES ST SUITE A
MOREHEAD CITY NC
28557-2918
US
V. Phone/Fax
- Phone: 252-728-8550
- Fax: 252-222-7739
- Phone: 252-728-8550
- Fax: 252-222-7739
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP0905X |
| Taxonomy | State or Local Public Health Clinic/Center |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | 34D0667266 |
| License Number State | NC |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | 04869 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
JASPER
T
GARRETT
Title or Position: HEALTH DIRECTOR
Credential: ED.D.MPH
Phone: 252-728-8550