Organization Active NPI

Madison County DSS

  • Case Management Agency
  • Marshall, NC
National Provider Identifier
1649460072
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8700100 Issued in NC
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 MADISONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8700100MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
County of Madison Office of3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.