MEDICARE: COUNTY OF CALDWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QC1500X	Community Health Clinic/Center
4	261QD0000X	Dental Clinic/Center
5	261QF0050X	Non-Surgical Family Planning Clinic/Center
6	261QM2500X	Medical Specialty Clinic/Center
7	261QP2300X	Primary Care Clinic/Center
8	291U00000X	Clinical Medical Laboratory	34D0690973	NC
9	3336C0002X	Clinic Pharmacy	10113	NC
10	261QP0905X	State or Local Public Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2411319	OTHER	NC	CIGNA
2	07065	OTHER	NC	BLUECROSSBLUESHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	6906	OTHER	NC	UNITED HEALTH CARE
5	34D0690973	OTHER	NC	CLIA ID NUMBER
6	56162	OTHER	NC	MED COST

General Provider Information

NPI Number	:	1083756571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF CALDWELL

Provider Business Mailing Address
First Line	:	2345 MORGANTON BLVD SW
Second Line	:	SUITE B
City	:	LENOIR
State	:	NC
Zip	:	28645-4973
Country	:	US
Telephone Number	:	828-426-8400
Fax Number	:	828-426-8450

Provider Business Practice Location Address
First Line	:	2345 MORGANTON BLVD SW
Second Line	:	SUITE B
City	:	LENOIR
State	:	NC
Zip	:	28645-4973
Country	:	US
Telephone Number	:	828-426-8400
Fax Number	:	828-426-8450

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	MS. ANNA N MARTIN
Credential	:
Telephone Number	:	828-426-8415

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	11/18/2024

Similar Medicare Providers

1386646552 — COUNTY OF CALDWELL
Practice Location Address:

2345 MORGANTON BLVD SW
LENOIR, NC
28645-4973

Practice Phone: 828-426-8401
Practice Fax: 828-426-8441

1619003605 — COUNTY OF CALDWELL
Practice Location Address:

2345 MORGANTON BLVD SW STE B
LENOIR, NC
28645-4973

Practice Phone: 828-426-8400
Practice Fax: 828-426-8450

1669508024 — ROGER CLIFFORD KEEVER PA
Practice Location Address:

2345 MORGANTON BLVD SW
LENOIR, NC
28645-4973

Practice Phone: 828-426-8433
Practice Fax:

1679600019 — MS. JUDY A FERRIS FNP
Practice Location Address:

2345 MORGANTON BLVD SW
LENOIR, NC
28645-4973

Practice Phone: 828-426-8400
Practice Fax: 828-426-8450

1003942483 — DR. JOHN MARK PICTON M.D.
Practice Location Address:

2345 MORGANTON BLVD SW STE B
LENOIR, NC
28645-4973

Practice Phone: 828-426-8400
Practice Fax: 828-426-8450

1215059936 — CALDWELL COUNTY GOVERNMENT
Practice Location Address:

2345 MORGANTON BLVD SW STE A
LENOIR, NC
28645-4973

Practice Phone: 828-426-8200
Practice Fax: 828-426-8392

Directions to “COUNTY OF CALDWELL ” Practice Location

Language	Start Address	Practice Location

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