Provider Demographics
NPI:1033232020
Name:COUNTY OF PERSON OFFICE OF COUNTY FINANCE
Entity Type:Organization
Organization Name:COUNTY OF PERSON OFFICE OF COUNTY FINANCE
Other - Org Name:PERSON COUNTY DSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:B
Authorized Official - Last Name:PAYLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:MBA
Authorized Official - Phone:336-503-1131
Mailing Address - Street 1:PO BOX 770
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-0770
Mailing Address - Country:US
Mailing Address - Phone:336-599-8361
Mailing Address - Fax:336-597-9339
Practice Address - Street 1:355-B SOUTH MADISON BLVD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573
Practice Address - Country:US
Practice Address - Phone:336-599-8361
Practice Address - Fax:336-597-9339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF PERSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-06
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408036Medicaid
NC8700059Medicaid