NPIMap

Organization Active NPI

County of Haywood

  • State or Local Public Health Clinic/Center
  • Clyde, NC
National Provider Identifier
1629123211
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF HAYWOOD
Practice address
157 Paragon Parkway
Suite 700
Clyde, NC 28721
Phone
(828) 452-6701
Fax
(828) 452-6619
NPI assigned
Jan 24, 2007
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Patrick H. Johnson, RN C, MPA
Title
Public Health Director
Phone
(828) 452-6675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

157 Paragon Parkway
Suite 700
Clyde, NC 28721

Mailing address

157 Paragon Parkway
Suite 700
Clyde, NC 28721
Phone (828) 452-6701

Other identifiers 1

IdentifierTypeStateIssuer
3404344MedicaidNC

Other names 1

  • Haywood County HHSA-Dental Office Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Haywood12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1629123211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARAGON PARKWAY",
            "address_2": "SUITE 700",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-6701",
            "fax_number": "828-452-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARAGON PARKWAY",
            "address_2": "SUITE 700",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-6701",
            "fax_number": "828-452-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HAYWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-452-6675",
        "authorized_official_credential": "RN C, MPA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404344",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haywood County HHSA-Dental Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.