Provider Demographics
NPI:1376841627
Name:COUNTY OF HYDE OFFICE OF ACCOUNTANT
Entity type:Organization
Organization Name:COUNTY OF HYDE OFFICE OF ACCOUNTANT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:POWELL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:252-926-4387
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:SWANQUARTER
Mailing Address - State:NC
Mailing Address - Zip Code:27885-0100
Mailing Address - Country:US
Mailing Address - Phone:252-926-4200
Mailing Address - Fax:252-926-3702
Practice Address - Street 1:1151 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SWANQUARTER
Practice Address - State:NC
Practice Address - Zip Code:27885-1151
Practice Address - Country:US
Practice Address - Phone:252-926-4200
Practice Address - Fax:252-926-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2800839OtherMEDICARE - IMMUNIZATIONS
1962405159OtherNPI
NC3404348Medicaid