NPIMap

Organization Active NPI

Clay County

Doing business as Clay County Health Department

  • State or Local Public Health Clinic/Center
  • Hayesville, NC
National Provider Identifier
1629159884
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CLAY COUNTY
Doing business as
Clay County Health Department
Practice address
345 Courthouse Dr
Hayesville, NC 28904-0020
Phone
(828) 389-8052
Fax
(828) 389-8533
NPI assigned
Oct 17, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Janice F. Patterson
Title
Health Director
Phone
(828) 389-8052

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community Health Clinic/Center 261QC1500X NU
Dental Clinic/Center 261QD0000X NC
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Medical Specialty Clinic/Center 261QM2500X NU
State or Local Public Health Clinic/Center 261QP0905X NC Primary
Primary Care Clinic/Center 261QP2300X NU
Clinical Medical Laboratory 291U00000X 34D0865328 NC

Addresses

Primary practice location

345 Courthouse Dr
Hayesville, NC 28904-0020

Mailing address

345 Courthouse Dr
Hayesville, NC 28904-0020
Phone (828) 389-8052

Other identifiers 3

IdentifierTypeStateIssuer
3404322MedicaidNC
3404489MedicaidNC
07073OtherNCBC-BS

Other names 1

  • Clay County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041122001064 NC Part B Supplier - Clinic/Group Practice 3274430996 Receives reassigned benefits from 7 practitioners
Practice locations: Hayesville, NC
O20080415000088 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3274430996 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hayesville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

Locations

345 Courthouse Dr
Hayesville, NC 28904
Phone (828) 389-8052

Practitioners & affiliated clinicians

Practitioners 8

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1629159884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COURTHOUSE DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289040020",
            "telephone_number": "828-389-8052",
            "fax_number": "828-389-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COURTHOUSE DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289040020",
            "telephone_number": "828-389-8052",
            "fax_number": "828-389-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-389-8052"
    },
    "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": "NC",
            "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": "NC",
            "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": "NC",
            "license": "34D0865328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404322",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404489",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "07073",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.