Provider Demographics
NPI:1013043686
Name:LENOIR COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LENOIR COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:V
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-526-4212
Mailing Address - Street 1:PO BOX 3385
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28502-3385
Mailing Address - Country:US
Mailing Address - Phone:252-526-4200
Mailing Address - Fax:
Practice Address - Street 1:201 N MCLEWEAN ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4949
Practice Address - Country:US
Practice Address - Phone:252-526-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LENOIR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-26
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34D0865324261QC1500X, 261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2801152Medicare ID - Type Unspecified