Provider Demographics
NPI:1821310160
Name:SWAIN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:SWAIN COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RS, MPH
Authorized Official - Phone:828-488-3792
Mailing Address - Street 1:545 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-6609
Mailing Address - Country:US
Mailing Address - Phone:828-488-3792
Mailing Address - Fax:828-488-0402
Practice Address - Street 1:545 CENTER ST
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-6609
Practice Address - Country:US
Practice Address - Phone:828-488-3792
Practice Address - Fax:828-488-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1487251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408944Medicaid