Provider Demographics
NPI:1255780136
Name:COUNTY OF BEAUFORT
Entity type:Organization
Organization Name:COUNTY OF BEAUFORT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:CAHOON
Authorized Official - Last Name:RADCLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-946-0079
Mailing Address - Street 1:1420 HIGHLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889
Mailing Address - Country:US
Mailing Address - Phone:252-940-6519
Mailing Address - Fax:252-975-6802
Practice Address - Street 1:1420 HIGHLAND DRIVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889
Practice Address - Country:US
Practice Address - Phone:252-940-6519
Practice Address - Fax:252-975-6802
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEAUFORT COUNTY EMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1859341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance