Provider Demographics
NPI:1760576722
Name:ORANGE COUNTY
Entity Type:Organization
Organization Name:ORANGE COUNTY
Other - Org Name:ORANGE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:QUINTANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-245-2411
Mailing Address - Street 1:300 W TRYON ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2438
Mailing Address - Country:US
Mailing Address - Phone:919-245-2477
Mailing Address - Fax:919-644-3007
Practice Address - Street 1:300 W TRYON ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2438
Practice Address - Country:US
Practice Address - Phone:919-245-2477
Practice Address - Fax:919-644-3007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORANGE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X
NC261QP0905X, 261QP2300X, 291U00000X, 291U00000X, 261QM2500X, 261QP2300X, 261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No291U00000XLaboratoriesClinical Medical Laboratory
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC022K2OtherBCBS NUTRITION
NC2803148OtherMEDICARE ROSTER BILLING
NC3404475Medicaid
NC9017814OtherCIGNA HEALTHCARE
NC025CT(PRIMARY CARE)OtherBCBS
NC2994347OtherMEDICARE(NUTRITION)
NC022PNOtherBCBS NC (IMMUNIZING HEALTH CENTER)
NC2349325AMedicare PIN
NC2803148OtherMEDICARE ROSTER BILLING