Healthcare Provider Details

I. General information

NPI: 1972631984
Provider Name (Legal Business Name): COUNTY OF CHATHAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 EAST STREET
PITTSBORO NC
27312
US

IV. Provider business mailing address

PO BOX 130
PITTSBORO NC
27312-0129
US

V. Phone/Fax

Practice location:
  • Phone: 919-542-8220
  • Fax: 919-542-8266
Mailing address:
  • Phone: 919-542-8220
  • Fax: 919-542-8266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLY COLEMAN
Title or Position: HEALTH DIRECTOR
Credential: MS,RS
Phone: 919-542-8215