Provider Demographics
NPI:1285791087
Name:FOOTHILLS HEALTH DISTRICT
Entity type:Organization
Organization Name:FOOTHILLS HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LOCAL PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-223-3908
Mailing Address - Street 1:221 CALLAHAN KOON RD
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-2207
Mailing Address - Country:US
Mailing Address - Phone:828-223-3908
Mailing Address - Fax:828-288-4047
Practice Address - Street 1:221 CALLAHAN KOON RD
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-2207
Practice Address - Country:US
Practice Address - Phone:828-223-3908
Practice Address - Fax:828-288-4047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-02
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC600002290OtherMEDICARE RAILROAD
NC3536966OtherUNITED HEALTH CARE
NC0725WOtherBCBS
NC3404381Medicaid
NC3536966OtherUNITED HEALTH CARE
NC3536966OtherUNITED HEALTH CARE