Provider Demographics
NPI:1134286321
Name:COUNTY OF HOKE
Entity type:Organization
Organization Name:COUNTY OF HOKE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:MCDUFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-875-3717
Mailing Address - Street 1:683 E PALMER RD
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6648
Mailing Address - Country:US
Mailing Address - Phone:910-875-3717
Mailing Address - Fax:910-875-1715
Practice Address - Street 1:683 E PALMER RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-6648
Practice Address - Country:US
Practice Address - Phone:910-875-3717
Practice Address - Fax:910-875-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 251B00000X, 261QC1500X, 261QF0050X, 261QM2500X, 3336C0002X, 261QP2300X, 261QP0905X
NC34DO865177291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No3336C0002XSuppliersPharmacyClinic Pharmacy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404347Medicaid
NC3404647Medicaid
NC0723UOtherBLUE CROSS BLUE SHIELD
NC0723UOtherBLUE CROSS BLUE SHIELD
NC3404347Medicaid