Provider Demographics
NPI:1619927043
Name:COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Entity Type:Organization
Organization Name:COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Other - Org Name:EDGECOMBE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ETHERIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:252-641-7531
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-0100
Mailing Address - Country:US
Mailing Address - Phone:252-641-7518
Mailing Address - Fax:
Practice Address - Street 1:122 E SAINT JAMES ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-5016
Practice Address - Country:US
Practice Address - Phone:252-641-7518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-10
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408181Medicaid