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NPI Code Detail

MEDICARE: MECKLENBURG COUNTY

MEDICARE: MECKLENBURG COUNTY
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
1261QP0905XState or Local Public Health Clinic/Center
2251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477694313
Entity Type Code : Organization
Provider Name (Legal Business Name) : MECKLENBURG COUNTY
Provider Business Mailing Address
First Line : 249 BILLINGSLEY RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-1003
Country : US
Telephone Number : 704-336-4776
Fax Number : 704-336-5006
Provider Business Practice Location Address
First Line : 2845 BEATTIES FORD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-3711
Country : US
Telephone Number : 704-336-4700
Fax Number :
Authorized Official
Title or Position : HEALTH DIRECTOR
Name : RAYNARD E WASHINGTON
Credential : PHD
Telephone Number : 980-579-0671
Provider Enumeration Date : 02/12/2007
Last Update Date : 02/01/2022

Similar Medicare Providers

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1417083148 — JANE S FAWCETT NP
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1982926655 — MS. DONNA C HORTON-BOWREY RPH
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Directions to “MECKLENBURG COUNTY ” Practice Location

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