Healthcare Provider Details

I. General information

NPI: 1649354101
Provider Name (Legal Business Name): COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 WASHINGTON ST
WHITEVILLE NC
28472-3046
US

IV. Provider business mailing address

PO BOX 1327
WHITEVILLE NC
28472-1327
US

V. Phone/Fax

Practice location:
  • Phone: 910-640-6602
  • Fax: 910-640-6646
Mailing address:
  • Phone: 910-640-6602
  • Fax: 910-640-6646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberHC0755
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHC0755
License Number StateNC

VIII. Authorized Official

Name: KRISTIE MASSEY
Title or Position: DIRECTOR
Credential:
Phone: 910-640-6602