Provider Demographics
NPI:1871637975
Name:COUNTY OF LEE NORTH CAROLINA
Entity Type:Organization
Organization Name:COUNTY OF LEE NORTH CAROLINA
Other - Org Name:LEE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE OFFICER/ ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-718-4640
Mailing Address - Street 1:106 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4021
Mailing Address - Country:US
Mailing Address - Phone:919-718-4640
Mailing Address - Fax:919-718-4632
Practice Address - Street 1:106 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4021
Practice Address - Country:US
Practice Address - Phone:919-718-4640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LEE NORTH CAROLINA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-20
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0728MOtherBCBS
NC3404353Medicaid
NC011U5OtherBCBS
NC1871637975Medicaid
NC2803157Medicare ID - Type Unspecified