Provider Demographics
NPI:1891825782
Name:COUNTY OF HENDERSON
Entity Type:Organization
Organization Name:COUNTY OF HENDERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-697-4827
Mailing Address - Street 1:820 N JUSTICE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3410
Mailing Address - Country:US
Mailing Address - Phone:828-697-4827
Mailing Address - Fax:828-696-0737
Practice Address - Street 1:820 N JUSTICE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3410
Practice Address - Country:US
Practice Address - Phone:828-697-4827
Practice Address - Fax:828-696-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13903416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07223OtherBCBS OF NC
NC540001591OtherRAILROAD MEDICARE
NC3406650Medicaid
NC07223OtherBCBS OF NC