Provider Demographics
NPI:1467422428
Name:COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT
Entity Type:Organization
Organization Name:COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT
Other - Org Name:COLUMBUS COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSHCA
Authorized Official - Phone:910-641-3914
Mailing Address - Street 1:PO BOX 810
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-0810
Mailing Address - Country:US
Mailing Address - Phone:910-642-0147
Mailing Address - Fax:910-640-3859
Practice Address - Street 1:706 N THOMPSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3428
Practice Address - Country:US
Practice Address - Phone:910-642-0147
Practice Address - Fax:910-640-3859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-24
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0492251E00000X
251K00000X, 261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1013019OtherANCILLARY CARE MANAGEMENT
NC00711OtherNC BC&BS
NC3407084Medicaid
NC00711OtherNC BC&BS