Organization Active NPI

Wilkes County DSS

  • Public Health or Welfare Agency
  • Wilkesboro, NC
National Provider Identifier
1649468547
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WILKES COUNTY DSS
Practice address
304 College St
Wilkesboro, NC 28697-2854
Phone
(336) 651-7400
Fax
(336) 903-7613
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mr. James D Bumgarner, MSW
Title
Director
Phone
(336) 651-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

304 College St
Wilkesboro, NC 28697-2854

Mailing address

304 College St
Wilkesboro, NC 28697-2854
Phone (336) 651-7400

Other identifiers 1

IdentifierTypeStateIssuer
8700095OtherNCAT-RICK CASE MANAGEMENT

National Provider Directory

National Provider Directory
Tax ID family
County of Wilkes5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 College St
Wilkesboro, NC 28697
Phone (336) 651-7400

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1649468547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972854",
            "telephone_number": "336-651-7400",
            "fax_number": "336-903-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972854",
            "telephone_number": "336-651-7400",
            "fax_number": "336-903-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "BUMGARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-651-7400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AT-RICK CASE MANAGEMENT",
            "identifier": "8700095",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.