Healthcare Provider Details

I. General information

NPI: 1467422428
Provider Name (Legal Business Name): COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 02/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 N THOMPSON ST
WHITEVILLE NC
28472-3428
US

IV. Provider business mailing address

PO BOX 810
WHITEVILLE NC
28472-0810
US

V. Phone/Fax

Practice location:
  • Phone: 910-642-0147
  • Fax: 910-640-3859
Mailing address:
  • Phone: 910-642-0147
  • Fax: 910-640-3859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0492
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY LEWIS SMITH
Title or Position: HEALTH DIRECTOR
Credential: MSHCA
Phone: 910-641-3914