Provider Demographics
NPI:1144213778
Name:COUNTY OF AVERY OFFICE OF ACCOUNTANT
Entity Type:Organization
Organization Name:COUNTY OF AVERY OFFICE OF ACCOUNTANT
Other - Org Name:AVERY COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KITINA
Authorized Official - Middle Name:FORBES
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-733-8286
Mailing Address - Street 1:456 A ST.
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-1105
Mailing Address - Country:US
Mailing Address - Phone:828-733-8286
Mailing Address - Fax:828-733-7004
Practice Address - Street 1:456 A ST.
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-1105
Practice Address - Country:US
Practice Address - Phone:828-733-8286
Practice Address - Fax:828-733-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0726KOtherBCBS OF NC
NC3406783Medicaid
NC0726KOtherBCBS OF NC