NPIMap

Organization Active NPI

County of Duplin

  • Case Management Agency
  • Kenansville, NC
National Provider Identifier
1104166883
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTY OF DUPLIN
Practice address
423 N Main St
Kenansville, NC 28349-0000
Phone
(910) 296-2200
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. F Eric Bush
Title
Director
Phone
(910) 296-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

423 N Main St
Kenansville, NC 28349-0000

Mailing address

PO Box 969
Kenansville, NC 28349-0969
Phone (910) 296-2200

Other identifiers 1

IdentifierTypeStateIssuer
8700084MedicaidNC

Other names 1

  • Duplin County Department of Social Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Duplin4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1104166883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490969",
            "telephone_number": "910-296-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N MAIN ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490000",
            "telephone_number": "910-296-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DUPLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-296-2251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700084",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duplin County Department of Social Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.