Healthcare Provider Details

I. General information

NPI: 1457356651
Provider Name (Legal Business Name): COUNTY OF BURKE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E PARKER RD
MORGANTON NC
28655-6762
US

IV. Provider business mailing address

700 E PARKER RD
MORGANTON NC
28655-6762
US

V. Phone/Fax

Practice location:
  • Phone: 828-764-9150
  • Fax: 828-764-9155
Mailing address:
  • Phone: 828-764-9150
  • Fax: 828-764-9155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34DO865328
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. REBECCA L MCLEOD
Title or Position: HEALTH DIRECTOR
Credential: MPH
Phone: 282-764-9160