Provider Demographics
NPI:1851612691
Name:COUNTY OF CATAWBA OFFICE OF ACCOUNTANT
Entity Type:Organization
Organization Name:COUNTY OF CATAWBA OFFICE OF ACCOUNTANT
Other - Org Name:FAMILY NET OF CATAWBA COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MASSAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-695-6569
Mailing Address - Street 1:3050 11TH AVENUE DR SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8336
Mailing Address - Country:US
Mailing Address - Phone:828-695-6500
Mailing Address - Fax:828-695-4729
Practice Address - Street 1:3050 11TH AVENUE DR SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8336
Practice Address - Country:US
Practice Address - Phone:828-695-6500
Practice Address - Fax:828-695-4729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-018-003251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3410025Medicaid