NPIMap

Organization Active NPI

County of Catawba Office of Accountant

Doing business as CCPH Immunization Clinic

  • State or Local Public Health Clinic/Center
  • Hickory, NC
National Provider Identifier
1609922459
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF CATAWBA OFFICE OF ACCOUNTANT
Doing business as
CCPH Immunization Clinic
Practice address
3070 11TH Avenue Dr SE
Hickory, NC 28602-8336
Phone
(828) 695-5803
Fax
(828) 695-6618
NPI assigned
Jan 26, 2007
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Douglas W Urland, MPA
Title
Health Director
Phone
(828) 695-5801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NC
Medical Specialty Clinic/Center 261QM2500X NC
State or Local Public Health Clinic/Center 261QP0905X NC Primary

Addresses

Primary practice location

3070 11TH Avenue Dr SE
Hickory, NC 28602-8336

Mailing address

3070 11TH Avenue Dr SE
Hickory, NC 28602-8336
Phone (828) 695-5803

Other names 1

  • CCPH Immunization Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

100 Government Dr
Newton, NC 28658
Phone (828) 465-8230

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1609922459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 11TH AVENUE DR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028336",
            "telephone_number": "828-695-5803",
            "fax_number": "828-695-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 11TH AVENUE DR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028336",
            "telephone_number": "828-695-5803",
            "fax_number": "828-695-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CATAWBA OFFICE OF ACCOUNTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "URLAND",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-695-5801",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCPH Immunization Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.