MEDICARE: COUNTY OF EDGECOMBE OFFICE OF AUDITOR

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

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	:	1619927043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF EDGECOMBE OFFICE OF AUDITOR

Provider Business Mailing Address
First Line	:	PO BOX 100
Second Line	:
City	:	TARBORO
State	:	NC
Zip	:	27886-0100
Country	:	US
Telephone Number	:	252-641-7518
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 E SAINT JAMES ST
Second Line	:
City	:	TARBORO
State	:	NC
Zip	:	27886-5016
Country	:	US
Telephone Number	:	252-641-7518
Fax Number	:

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	MRS. MICHELLE B ETHERIDGE
Credential	:	MPH
Telephone Number	:	252-641-7531

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	04/19/2023

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