Provider Demographics
NPI:1407975816
Name:COUNTY OF GREENE
Entity Type:Organization
Organization Name:COUNTY OF GREENE
Other - Org Name:GREENE COUNTY DSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICER I
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-747-8183
Mailing Address - Street 1:227 KINGOLD BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1303
Mailing Address - Country:US
Mailing Address - Phone:252-747-5932
Mailing Address - Fax:252-747-8654
Practice Address - Street 1:227 KINGOLD BLVD STE A
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1303
Practice Address - Country:US
Practice Address - Phone:252-747-5932
Practice Address - Fax:252-747-8654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408622Medicaid