Active NPI
County of Hertford
Doing business as Hertford County Dept of Social Services
- Case Management Agency
- Winton, NC
National Provider Identifier
1164558177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COUNTY OF HERTFORD
- Doing business as
- Hertford County Dept of Social Services
- Practice address
- 704 North King Street
Winton, NC 27986-0218 - Phone
- (252) 358-7830
- Fax
- (252) 358-0597
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gwendolyn D Burns, MSW
- Title
- Director
- Phone
- (252) 358-7830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
704 North King Street
Winton, NC 27986-0218
Mailing address
PO Box 218
Winton, NC 27986-0218
Phone (252) 358-7830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408021 | Medicaid | NC |
Other names 2
- Hertford County Dept of Social Services
- Hertford Co DSS
National Provider Directory
National Provider Directory- Tax ID family
- County of Hertford
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hertford Co Dept of Social Services
- Case Management Agency
- Winton, NC
- NPI 1972630713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1164558177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "WINTON",
"state": "NC",
"postal_code": "279860218",
"telephone_number": "252-358-7830",
"fax_number": "252-358-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 NORTH KING STREET",
"city": "WINTON",
"state": "NC",
"postal_code": "279860218",
"telephone_number": "252-358-7830",
"fax_number": "252-358-0597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF HERTFORD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "252-358-7830",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408021",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hertford County Dept of Social Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hertford Co DSS",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hertford Co DSS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Winton, 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.