Yadkin County Council on Aging, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

HC0956 Issued in NC

Legal business name

YADKIN COUNTY COUNCIL ON AGING, INC.

Practice address

108 E Elm Steet
Yadkinville, NC 27055

Phone

(336) 679-2740

Fax

(336) 679-2449

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert L. Minnich, SOCIAL WORKER

Title

Executive Director

Phone

(336) 679-2740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1316152143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108B EAST ELM STREET",
            "address_2": "PO BOX 789",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-679-2740",
            "fax_number": "336-679-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E ELM STEET",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-679-2740",
            "fax_number": "336-679-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADKIN COUNTY COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-679-2740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "HC0956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Grimes Williams, NP
• Willowbrook Healthcare, LLC
• Julie Levie Winters
• Felidia Yasmin Wishart, PHARMD
• Tracy Lynn Wyngaard, APNP
• Yadkin County DSS
• Yadkin County Schools
• Yadkin Dialysis Center of Wake Forest University
• Yadkin Nursing Care Center, Inc.
• Yadkin Nursing Care Center, Inc.

• Health Maintenance Organization in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.