MEDICARE: COUNTY OF AVERY

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	3416L0300X	Land Ambulance	1507	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0726K	OTHER	NC	BCBS OF NC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144213778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF AVERY

Provider Business Mailing Address
First Line	:	456 A ST
Second Line	:
City	:	NEWLAND
State	:	NC
Zip	:	28657-9811
Country	:	US
Telephone Number	:	828-733-8286
Fax Number	:	828-733-7004

Provider Business Practice Location Address
First Line	:	456 A ST.
Second Line	:
City	:	NEWLAND
State	:	NC
Zip	:	28657-1105
Country	:	US
Telephone Number	:	828-733-8286
Fax Number	:	828-733-7004

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KITINA CALHOUN
Credential	:
Telephone Number	:	828-733-8286

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	09/04/2025

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Directions to “COUNTY OF AVERY ” Practice Location

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