Provider Demographics
NPI:1497880033
Name:COUNTY OF NASH
Entity Type:Organization
Organization Name:COUNTY OF NASH
Other - Org Name:NASH COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MPH
Authorized Official - Phone:252-459-9819
Mailing Address - Street 1:214 S BARNES ST
Mailing Address - Street 2:PO BOX 849
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-1204
Mailing Address - Country:US
Mailing Address - Phone:252-459-9819
Mailing Address - Fax:252-459-9834
Practice Address - Street 1:214 S BARNES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1204
Practice Address - Country:US
Practice Address - Phone:252-459-9819
Practice Address - Fax:252-459-9834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QC1500X, 261QF0050X, 261QP0905X
NC34D0692393291U00000X
NC34D0865177291U00000X
NC048033336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0721JOtherBCBS OF NC HEALTH INS
NC3404364Medicaid
NC0721JOtherBCBS OF NC HEALTH INS