Provider Demographics
NPI:1639382716
Name:MCDOWELL COUNTY
Entity type:Organization
Organization Name:MCDOWELL COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-652-7121
Mailing Address - Street 1:60 E COURT ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4041
Mailing Address - Country:US
Mailing Address - Phone:828-652-7121
Mailing Address - Fax:828-652-2983
Practice Address - Street 1:41 S GARDEN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4024
Practice Address - Country:US
Practice Address - Phone:828-652-7121
Practice Address - Fax:828-652-2983
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCDOWELL COUNTY EMERGENCY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-07
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1142341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406764Medicaid
NC0723MOtherBCBS
NC0723MOtherBCBS