Provider Demographics
NPI:1992856850
Name:COUNTY OF HENDERSON
Entity Type:Organization
Organization Name:COUNTY OF HENDERSON
Other - Org Name:HENDERSON COUNTY DEPARTMENT OF PUBLIC HEALTH - BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-692-4223
Mailing Address - Street 1:1200 SPARTANBURG HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5855
Mailing Address - Country:US
Mailing Address - Phone:828-692-4223
Mailing Address - Fax:828-697-4709
Practice Address - Street 1:1200 SPARTANBURG HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5855
Practice Address - Country:US
Practice Address - Phone:828-692-4223
Practice Address - Fax:828-697-4709
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF HENDERSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60005682Medicaid