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NPI Code Detail

MEDICARE: RUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT

MEDICARE: RUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT
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
1261QC1500XCommunity Health Clinic/Center
2261QH0100XHealth Service Clinic/Center
3261QP2300XPrimary Care Clinic/Center
4261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10725WOTHERNCBCBS

General Provider Information

NPI Number : 1639323140
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 221 CALLAHAN KOON RD
Second Line :
City : SPINDALE
State : NC
Zip : 28160-2207
Country : US
Telephone Number : 828-223-3930
Fax Number : 828-288-4047
Provider Business Practice Location Address
First Line : 221 CALLAHAN KOON RD
Second Line :
City : SPINDALE
State : NC
Zip : 28160-2207
Country : US
Telephone Number : 828-223-3930
Fax Number : 828-288-4047
Authorized Official
Title or Position : DISTRICT HEALTH DIRECTOR
Name : MR. JAMES H HINES JR.
Credential :
Telephone Number : 828-223-3908
Provider Enumeration Date : 11/11/2008
Last Update Date : 06/04/2013

Similar Medicare Providers

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Practice Location Address:
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Directions to “RUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT ” Practice Location

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