Active NPI
County of Caldwell
- State or Local Public Health Clinic/Center
- Lenoir, NC
National Provider Identifier
1083756571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- COUNTY OF CALDWELL
- Practice address
- 2345 Morganton Blvd SW
Suite B
Lenoir, NC 28645-4973 - Phone
- (828) 426-8400
- Fax
- (828) 426-8450
- NPI assigned
- Feb 13, 2007
- Organization subpart
- Yes
- Parent organization
- COUNTY OF CALDWELL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anna N Martin
- Title
- Health Director
- Phone
- (828) 426-8415
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Clinical Medical Laboratory | 291U00000X | 34D0690973 | NC | |
| Clinic Pharmacy | 3336C0002X | 10113 | NC |
Addresses
Primary practice location
2345 Morganton Blvd SW
Suite B
Lenoir, NC 28645-4973
Mailing address
2345 Morganton Blvd SW
Suite B
Lenoir, NC 28645-4973
Phone (828) 426-8400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2411319 | Other | NC | CIGNA |
| 07065 | Other | NC | BLUECROSSBLUESHIELD |
| 3404464 | Medicaid | NC | |
| 6906 | Other | NC | UNITED HEALTH CARE |
| 34D0690973 | Other | NC | CLIA ID NUMBER |
| 56162 | Other | NC | MED COST |
Other names 1
- CALDWELL COUNTY HEALTH DEPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091020000532 | NC | Part B Supplier - Clinic/Group Practice | 1456391523 |
Receives reassigned benefits from 3 practitioners Practice locations: Lenoir, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Part of
- County of Caldwell
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Newton, NC
- NPI 1427185263
-
- Registered Dietitian
- Hickory, NC
- NPI 1033431861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1083756571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 MORGANTON BLVD SW",
"address_2": "SUITE B",
"city": "LENOIR",
"state": "NC",
"postal_code": "286454973",
"telephone_number": "828-426-8400",
"fax_number": "828-426-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 MORGANTON BLVD SW",
"address_2": "SUITE B",
"city": "LENOIR",
"state": "NC",
"postal_code": "286454973",
"telephone_number": "828-426-8400",
"fax_number": "828-426-8450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CALDWELL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF CALDWELL",
"enumeration_date": "2007-02-13",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "828-426-8415",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": "34D0690973",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NC",
"license": "10113",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2411319",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "07065",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404464",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6906",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID NUMBER",
"identifier": "34D0690973",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED COST",
"identifier": "56162",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CALDWELL COUNTY HEALTH DEPT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CALDWELL COUNTY HEALTH DEPT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.