Provider Demographics
NPI:1356396428
Name:NORTHAMPTON COUNTY
Entity type:Organization
Organization Name:NORTHAMPTON COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:G
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-534-1291
Mailing Address - Street 1:PO BOX 635
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NC
Mailing Address - Zip Code:27845-0635
Mailing Address - Country:US
Mailing Address - Phone:252-534-5841
Mailing Address - Fax:252-534-1045
Practice Address - Street 1:9495 NC 305 HIGHWAY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NC
Practice Address - Zip Code:27845-0635
Practice Address - Country:US
Practice Address - Phone:252-534-5841
Practice Address - Fax:252-534-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0530251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00777OtherBLUE CROSS BLUE SHIELD
NC00777OtherSTATE HEALTH PLAN
NC3407081Medicaid
NC3407081Medicaid