Provider Demographics
NPI:1023216462
Name:COUNTY OF ONSLOW
Entity Type:Organization
Organization Name:COUNTY OF ONSLOW
Other - Org Name:ONSLOW COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE OFFICE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-455-3404
Mailing Address - Street 1:234 NW CORRIDOR BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5309
Mailing Address - Country:US
Mailing Address - Phone:910-455-3404
Mailing Address - Fax:910-455-3024
Practice Address - Street 1:1249 HARGETT ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5934
Practice Address - Country:US
Practice Address - Phone:910-989-1020
Practice Address - Fax:910-989-0713
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF ONSLOW
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-06
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700040Medicaid
NC87000040Medicare ID - Type Unspecified