Provider Demographics
NPI:1669537593
Name:COUNTY OF BUNCOMBE
Entity type:Organization
Organization Name:COUNTY OF BUNCOMBE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHESON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN
Authorized Official - Phone:828-250-5106
Mailing Address - Street 1:PO BOX 7407
Mailing Address - Street 2:ATTENTION: ACCOUNTING UNIT
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-7407
Mailing Address - Country:US
Mailing Address - Phone:828-250-5000
Mailing Address - Fax:828-250-6096
Practice Address - Street 1:40 COXE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3308
Practice Address - Country:US
Practice Address - Phone:828-250-5000
Practice Address - Fax:828-250-6096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251K00000XAgenciesPublic Health or Welfare
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404311Medicaid
NC3404311Medicaid