NPIMap

Organization Active NPI

County of Jackson

Doing business as Jackson County Hlth Dept Clinical Services

  • State or Local Public Health Clinic/Center
  • Sylva, NC
National Provider Identifier
1609912096
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF JACKSON
Doing business as
Jackson County Hlth Dept Clinical Services
Practice address
538 Scotts Creek Road
Suite 100
Sylva, NC 28779-5281
Phone
(828) 586-8994
Fax
(828) 631-3617
NPI assigned
Jan 30, 2007
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF JACKSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Ms. Paula G Carden, MSPA
Title
Director
Phone
(828) 586-8994

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community Health Clinic/Center 261QC1500X NU
Dental Clinic/Center 261QD0000X NU
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Medical Specialty Clinic/Center 261QM2500X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary
Primary Care Clinic/Center 261QP2300X NU
Clinical Medical Laboratory 291U00000X NU
Clinic Pharmacy 3336C0002X NU

Addresses

Primary practice location

538 Scotts Creek Road
Suite 100
Sylva, NC 28779-5281

Mailing address

538 Scotts Creek Road
Suite 100
Sylva, NC 28779-5281
Phone (828) 586-8994

Other identifiers 3

IdentifierTypeStateIssuer
3404350MedicaidNC
34D0685734OtherNCCLIA
07113OtherNCBLUE CROSS INSURANCE

Other names 1

  • Jackson County Hlth Dept Clinical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000767 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4183681026 1 other NPI on this enrollment
Practice locations: Sylva, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Jackson Co Emer Med SVC

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1609912096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK ROAD",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795281",
            "telephone_number": "828-586-8994",
            "fax_number": "828-631-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK ROAD",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795281",
            "telephone_number": "828-586-8994",
            "fax_number": "828-631-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JACKSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF JACKSON",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "CARDEN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-586-8994",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404350",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0685734",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INSURANCE",
            "identifier": "07113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Hlth Dept Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.