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	261QR0400X	Rehabilitation Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1619003605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF CALDWELL

Provider Business Mailing Address
First Line	:	2345 MORGANTON BLVD SUITE B
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-5311
Country	:	US
Telephone Number	:	828-426-8400
Fax Number	:	828-426-8450

Provider Business Practice Location Address
First Line	:	2345 MORGANTON BLVD SW STE B
Second Line	:
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	:	MRS. DENISE M. MICHAUD
Credential	:
Telephone Number	:	828-426-8415

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/03/2010

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

1083756571 — COUNTY OF CALDWELL
Practice Location Address:

2345 MORGANTON BLVD SW , SUITE 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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