Provider Demographics
NPI:1073704946
Name:YANCEY CO. DSS
Entity Type:Organization
Organization Name:YANCEY CO. DSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR DSS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-682-6148
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-0067
Mailing Address - Country:US
Mailing Address - Phone:828-682-6148
Mailing Address - Fax:
Practice Address - Street 1:447 E19 BYPASS
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-0067
Practice Address - Country:US
Practice Address - Phone:828-682-2470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700036Medicaid