Provider Demographics
NPI:1083738645
Name:COUNTY OF CARTERET
Entity Type:Organization
Organization Name:COUNTY OF CARTERET
Other - Org Name:CARTERET COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MASSINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-728-8550
Mailing Address - Street 1:3820 BRIDGES ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2918
Mailing Address - Country:US
Mailing Address - Phone:252-728-8550
Mailing Address - Fax:252-222-7739
Practice Address - Street 1:3820 BRIDGES ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2918
Practice Address - Country:US
Practice Address - Phone:252-728-8550
Practice Address - Fax:252-222-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM2500X, 261QP0905X
NC34D0667266291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404316Medicaid