Provider Demographics
NPI:1154472884
Name:COUNTY OF CARTERET COURTHOUSE SQUARE FINANCE OFFICE
Entity Type:Organization
Organization Name:COUNTY OF CARTERET COURTHOUSE SQUARE FINANCE OFFICE
Other - Org Name:CARTERET COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:GARDNER
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-728-3181
Mailing Address - Street 1:P.O. BOX 779
Mailing Address - Street 2:210 CRAVEN ST.
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-0779
Mailing Address - Country:US
Mailing Address - Phone:252-728-3181
Mailing Address - Fax:252-648-7462
Practice Address - Street 1:210 CRAVEN STREET
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-0779
Practice Address - Country:US
Practice Address - Phone:252-728-3181
Practice Address - Fax:252-728-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC870020OtherMEDICAID
NC3408059Medicaid
NC8700020Medicaid