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Organization

COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT

Active
Other names
Columbus County Health Dept Mass Imm & Private Ins
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY L SMITH (HEALTH DIRECTOR)
(910) 640-6615
Entity
Organization

Contact information

Practice address
304 JEFFERSON ST, WHITEVILLE, NC 28472-3602
(910) 640-6615
(910) 640-1088
Mailing address
304 JEFFERSON ST, 304 JEFFERSON ST, WHITEVILLE, NC 28472-3602
(910) 640-6615
(910) 640-1088

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center
261QD0000X
Dental Clinic/Center
261QF0050X
Non-Surgical Family Planning Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center
291U00000X
Clinical Medical Laboratory
34D0655436
NC
3336C0002X
Clinic Pharmacy
04810
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07218
NC BC&BS
NC
01
130170
MEDCOST
NC
01
35678
HUMANA
NC
01
56600089
OTHER INSURANCE
NC
01
600002181
RAILROAD RETIREMENT
Enumeration date
11/20/2006
Last updated
10/30/2012
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