NPIMap

Organization Active NPI

County of Wilson

  • State or Local Public Health Clinic/Center
  • Wilson, NC
National Provider Identifier
1376698555
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF WILSON
Practice address
1801 Glendale Dr SW
Wilson, NC 27893-4401
Phone
(252) 291-5470
Fax
(252) 293-8300
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mr. Alvin Felix Meyer, MHA
Title
Health Director
Phone
(252) 291-5470

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Community Health Clinic/Center 261QC1500X NC
Non-Surgical Family Planning Clinic/Center 261QF0050X NC
Medical Specialty Clinic/Center 261QM2500X NC
State or Local Public Health Clinic/Center 261QP0905X NC Primary
Primary Care Clinic/Center 261QP2300X NC
Clinical Medical Laboratory 291U00000X NC
Clinic Pharmacy 3336C0002X NC

Addresses

Primary practice location

1801 Glendale Dr SW
Wilson, NC 27893-4401

Mailing address

1801 Glendale Dr SW
Wilson, NC 27893-4401
Phone (252) 291-5470

Other identifiers 3

IdentifierTypeStateIssuer
07194OtherNCBLUE CROSS BLUE SHIELD
3404398MedicaidNC
3404458MedicaidNC

Other names 1

  • WILSON CO. DEPT. OF PUBLIC HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Wilson7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1376698555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GLENDALE DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934401",
            "telephone_number": "252-291-5470",
            "fax_number": "252-293-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GLENDALE DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934401",
            "telephone_number": "252-291-5470",
            "fax_number": "252-293-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-291-5470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07194",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404398",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404458",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILSON CO. DEPT. OF PUBLIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.