Active NPI
Madison County DSS
- Case Management Agency
- Marshall, NC
National Provider Identifier
1649460072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 8700100
- Legal business name
- MADISON COUNTY DSS
- Practice address
- 5707 US Highway 25/70 Ste D
Marshall, NC 28753-6449 - Phone
- (828) 649-2711
- Fax
- (828) 649-3687
- NPI assigned
- Aug 1, 2007
- Organization subpart
- Yes
- Parent organization
- COUNTY OF MADISON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie M Harris
- Title
- Director
- Phone
- (828) 649-2711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 8700100 | NC | Primary |
Addresses
Primary practice location
5707 US Highway 25/70 Ste D
Marshall, NC 28753-6449
Mailing address
PO Box 219
Marshall, NC 28753-0219
Phone (828) 649-2711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700100 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- County of Madison Office of
- Part of
- County of Madison Office of
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Madison County Health Department - Behavioral Health
- State or Local Public Health Clinic/Center
- Marshall, NC
- NPI 1750604310
-
dba Madison County Health Department-Clinical Services
- State or Local Public Health Clinic/Center
- Marshall, NC
- NPI 1356469357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591315200000",
"number": "1649460072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287530219",
"telephone_number": "828-649-2711",
"fax_number": "828-649-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 US HIGHWAY 25/70 STE D",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287536449",
"telephone_number": "828-649-2711",
"fax_number": "828-649-3687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON COUNTY DSS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF MADISON",
"enumeration_date": "2007-08-01",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "828-649-2711"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": "8700100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700100",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.