NPIMap

Organization Active NPI

Toe River Health District

  • State or Local Public Health Clinic/Center
  • Bakersville, NC
National Provider Identifier
1295864452
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
TOE RIVER HEALTH DISTRICT
Practice address
130 Forest Service Dr Ste D
Bakersville, NC 28705-7081
Phone
(828) 688-5060
Fax
(828) 886-3866
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Mr. Franklin M Gardner
Title
Health Dirctor
Phone
(828) 191-6053

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

130 Forest Service Dr Ste D
Bakersville, NC 28705-7081

Mailing address

130 Forest Service Dr Ste D
Bakersville, NC 28705-7081
Phone (828) 688-5060

Other identifiers 5

IdentifierTypeStateIssuer
34D0865328OtherNCCLIA LICENCE #
3404361MedicaidNC
3404300MedicaidNC
3404484MedicaidNC
3404306MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130703000611 NC Part B Supplier - Clinic/Group Practice 0840218798 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Bakersville, NC; Newland, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Toe River Health District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

130 Forest Service Dr
Ste A
Bakersville, NC 28705
Phone (828) 688-2371

130 Forest Service Dr
Ste D
Bakersville, NC 28705
Phone (828) 688-3421

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1295864452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FOREST SERVICE DR STE D",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287057081",
            "telephone_number": "828-688-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FOREST SERVICE DR STE D",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287057081",
            "telephone_number": "828-688-5060",
            "fax_number": "828-886-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOE RIVER HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-07-06",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH DIRCTOR",
        "authorized_official_telephone_number": "828-191-6053",
        "authorized_official_name_prefix": "Mr."
    },
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENCE #",
            "identifier": "34D0865328",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404361",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404300",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404484",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404306",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.

Verify at the official NPI Registry.