Provider Demographics
NPI:1841293867
Name:ALEXANDER COUNTY
Entity type:Organization
Organization Name:ALEXANDER COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHISNANT
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:828-632-9704
Mailing Address - Street 1:338 1ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-2402
Mailing Address - Country:US
Mailing Address - Phone:828-632-9704
Mailing Address - Fax:828-632-1109
Practice Address - Street 1:338 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2402
Practice Address - Country:US
Practice Address - Phone:828-632-9704
Practice Address - Fax:828-632-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0476251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3407102Medicaid
NC00710OtherBLUE CROSS BLUE SHIELD
=========OtherTAX ID NUMBER
=========OtherTAX ID NUMBER