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NPI Code Detail

MEDICARE: COUNTY OF WILSON

MEDICARE: COUNTY OF WILSON
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
1251E00000XHome Health AgencyHC0343NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16600230OTHERNCPERSONAL CARE PROVIDER NU
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457357048
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF WILSON
Provider Business Mailing Address
First Line : 1801 GLENDALE DR SW
Second Line :
City : WILSON
State : NC
Zip : 27893-4401
Country : US
Telephone Number : 252-237-4335
Fax Number : 252-293-8302
Provider Business Practice Location Address
First Line : 1801 GLENDALE DR SW
Second Line :
City : WILSON
State : NC
Zip : 27893-4401
Country : US
Telephone Number : 252-237-4335
Fax Number : 252-293-8302
Authorized Official
Title or Position : HOME HEALTH DIRECTOR
Name : MRS. DEBRA J HARRIS
Credential : R.N.
Telephone Number : 252-237-4335
Provider Enumeration Date : 06/28/2005
Last Update Date : 10/24/2011

Similar Medicare Providers

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Practice Location Address:
1801 GLENDALE DR SW
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Practice Fax:
1932281540 — COUNTY OF WILSON
Practice Location Address:
1817 GLENDALE DRIVE SW
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1467507640 — COUNTY OF WILSON
Practice Location Address:
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1376698555 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
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1568517746 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
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1457496747 — DR. JERRY WILLIAM WILEY M.D.
Practice Location Address:
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Directions to “COUNTY OF WILSON ” Practice Location

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