Organization
COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Active
Other names
Edgecombe County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRUMFIELD ETHERIDGE (INTERIM HEALTH DIRECTOR)
(252) 824-3654
Entity
Organization
Contact information
Practice address
122 E SAINT JAMES ST, TARBORO, NC 27886-5016
(252) 641-7531
(252) 641-7565
Mailing address
PO BOX 100, TARBORO, NC 27886-0100
(252) 641-7511
(252) 641-7565
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
34DO865324
NC
3336C0002X
Clinic Pharmacy
04795
NC
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706A
BLUE CROSS BLUE SHIELD
NC
05
—
3404333
—
NC
05
—
3404449
—
NC
Enumeration date
02/27/2007
Last updated
05/07/2025
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