Provider Demographics
NPI:1851496269
Name:COUNTY OF JONES
Entity Type:Organization
Organization Name:COUNTY OF JONES
Other - Org Name:JONES COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-649-2770
Mailing Address - Street 1:418 NC HIGHWAY 58 N UNIT C
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:28585-9619
Mailing Address - Country:US
Mailing Address - Phone:252-448-9111
Mailing Address - Fax:252-448-1670
Practice Address - Street 1:418 NC HIGHWAY 58 N UNIT C
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NC
Practice Address - Zip Code:28585-9619
Practice Address - Country:US
Practice Address - Phone:252-448-9111
Practice Address - Fax:252-448-1443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF JONES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-13
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QP0905X, 251B00000X, 261QC1500X, 261QD0000X, 261QF0050X, 261QM2500X, 261QP2300X, 3336C0002X, 261QP0905X
261QP0905X, 363LF0000X
NC34D0865324291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or LocalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic Pharmacy
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404352Medicaid
NC3404352Medicaid