Active NPI
County of Caswell
Doing business as Caswell County Health Dept Personal Health
- State or Local Public Health Clinic/Center
- Yanceyville, NC
National Provider Identifier
1194858498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- COUNTY OF CASWELL
- Doing business as
- Caswell County Health Dept Personal Health
- Practice address
- 189 County Park Rd.
Yanceyville, NC 27379 - Phone
- (336) 694-4129
- Fax
- (336) 694-7030
- NPI assigned
- Mar 14, 2007
- Last updated
- Aug 2, 2021
- 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
- Jennifer Armstrong Eastwood
- Title
- Health Director
- Phone
- (336) 694-4129
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| 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 | 34D0865330 | NC |
Addresses
Primary practice location
189 County Park Rd.
Yanceyville, NC 27379
Mailing address
PO Box 1238
Yanceyville, NC 27379-1238
Phone (336) 694-4129
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0721T | Other | NC | HEALTH CHOICE AND CIGNA |
| 3404418 | Medicaid | NC | |
| 211441 | Other | NC | ALAMANCE CNTY HEALTH PLAN |
| 9223880 | Other | NC | CIGNA |
| 3404317 | Medicaid | NC |
Other names 1
- Caswell County Health Dept Personal Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080924000402 | NC | Part B Supplier - Clinic/Group Practice | 1052334372 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Yanceyville, NC |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Caswell Cnty Health Dept Flu and Pneumonia
- State or Local Public Health Clinic/Center
- Yanceyville, NC
- NPI 1003949306
1052334372
-
dba Caswell County Emergency Medical Services
- Paramedic
- Yanceyville, NC
- NPI 1356378855
1052334372
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Caswell Cnty Health Dept Flu and Pneumonia
- State or Local Public Health Clinic/Center
- Yanceyville, NC
- NPI 1003949306
O20080924000402
National Provider Directory
National Provider Directory- Tax ID family
- County of Caswell
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Caswell County Emergency Medical Services
- Paramedic
- Yanceyville, NC
- NPI 1356378855
-
dba Caswell County Health Dept CAP
- Case Management Agency
- Yanceyville, NC
- NPI 1518090935
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Yanceyville, NC
- NPI 1578914982
-
- Family Nurse Practitioner
- Yanceyville, NC
- NPI 1316926348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1194858498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1238",
"city": "YANCEYVILLE",
"state": "NC",
"postal_code": "273791238",
"telephone_number": "336-694-4129",
"fax_number": "336-694-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 COUNTY PARK RD.",
"city": "YANCEYVILLE",
"state": "NC",
"postal_code": "27379",
"telephone_number": "336-694-4129",
"fax_number": "336-694-7030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CASWELL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "EASTWOOD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ARMSTRONG",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "336-694-4129"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"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": "34D0865330",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CHOICE AND CIGNA",
"identifier": "0721T",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404418",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALAMANCE CNTY HEALTH PLAN",
"identifier": "211441",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9223880",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404317",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Caswell County Health Dept Personal Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Caswell County Health Dept Personal Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yanceyville, NC
- Compassion Health Care Inc (Caswell County Health Department)
- Compassion Health Care Inc (CFMC At North Village Pharmacy)
- Lloyd Karr Comstock, MD
- Connect3 Healthcare Services LLC
- County of Caswell (Caswell Cnty Health Dept Flu and Pneumonia)
- County of Caswell (Caswell County Emergency Medical Services)
- County of Caswell (Caswell County Health Dept CAP)
- County of Caswell (Caswell County Home Health Agency)
- Donnie's Compassionate Family Care Home LLC
- Double S & H Family Care Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.