MEDICARE: COUNTY OF BEAUFORT

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	251K00000X	Public Health or Welfare Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DT0810	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0728H	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1720489248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF BEAUFORT

Provider Business Mailing Address
First Line	:	1436 HIGHLAND DR
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-3222
Country	:	US
Telephone Number	:	252-946-1902
Fax Number	:	252-946-8430

Provider Business Practice Location Address
First Line	:	1436 HIGHLAND DR
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-3222
Country	:	US
Telephone Number	:	252-946-1902
Fax Number	:	252-946-8430

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	JAMES A MADSON
Credential	:
Telephone Number	:	252-946-1902

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	07/20/2020

Similar Medicare Providers

1679576763 — COUNTY OF BEAUFORT
Practice Location Address:

1436 HIGHLAND DR
WASHINGTON, NC
27889-3222

Practice Phone: 252-946-1902
Practice Fax: 252-946-8430

1912061938 — LINDA GAGLIANO RN
Practice Location Address:

1436 HIGHLAND DRIVE
WASHINGTON, NC
27889-3222

Practice Phone: 252-946-1902
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1033267752 — PAMELA LYNN BRINN DNP, CNM, FNP-BC
Practice Location Address:

1436 HIGHLAND DRIVE
WASHINGTON, NC
27889-3222

Practice Phone: 252-940-6539
Practice Fax: 252-946-8430

1407904048 — EILEEN BRITTON
Practice Location Address:

1436 HIGHLAND DR
WASHINGTON, NC
27889-3222

Practice Phone: 252-946-1902
Practice Fax:

1184875098 — BEAUFORT COUNTY HEALTH DEPARTMENT
Practice Location Address:

1436 HIGHLAND DR
WASHINGTON, NC
27889-3222

Practice Phone: 252-946-1902
Practice Fax: 252-946-8430

1366695355 — COUNTY OF BEAUFORT
Practice Location Address:

1436 HIGHLAND DR
WASHINGTON, NC
27889-3222

Practice Phone: 252-946-1902
Practice Fax: 252-946-8430

Directions to “COUNTY OF BEAUFORT ” Practice Location

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