Provider Demographics
NPI:1144223330
Name:DARE COUNTY ADMINISTRATIVE OFFICES
Entity type:Organization
Organization Name:DARE COUNTY ADMINISTRATIVE OFFICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-475-5731
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:MANTEO
Mailing Address - State:NC
Mailing Address - Zip Code:27954-1000
Mailing Address - Country:US
Mailing Address - Phone:252-475-5712
Mailing Address - Fax:
Practice Address - Street 1:1632 N CROATAN HWY
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-9258
Practice Address - Country:US
Practice Address - Phone:252-475-5710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1002341600000X
3416A0800X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0723WOtherBCBS NC
VA099460OtherANTHEM
PA1011307910001Medicaid
WV0225964000Medicaid
VA220506OtherCAREFIRST
NC3406787Medicaid
MD404317100Medicaid
FL908500900Medicaid
NC0723WOtherBCBS NC
PA1011307910001Medicaid