NPIMap

Organization Active NPI

County of Greene

  • Clinic/Center
  • Snow Hill, NC
National Provider Identifier
1700948544
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF GREENE
Practice address
227 Kingold Blvd
Suite B
Snow Hill, NC 28580-1303
Phone
(252) 747-8181
Fax
(252) 747-8946
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Eva Spence Brock
Title
Health Director
Phone
(252) 747-8183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

227 Kingold Blvd
Suite B
Snow Hill, NC 28580-1303

Mailing address

227 Kingold Blvd
Suite B
Snow Hill, NC 28580-1303
Phone (252) 747-8181

Other identifiers 2

IdentifierTypeStateIssuer
0721QOtherNCBCBS PROVIDER ID
3404442MedicaidNC

Other names 1

  • Greene County Department of Public Health - Mass Immunizations Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131119000677 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9638327109 Practice locations: Snow Hill, NC
O20191218000246 NC Part B Supplier - Clinic/Group Practice 9638327109 Receives reassigned benefits from 2 practitioners
Practice locations: Snow Hill, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
County of Greene7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

229 Kingold Blvd
Ste D
Snow Hill, NC 28580

208 SE Third St
Snow Hill, NC 28580
Phone (252) 747-5654

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1700948544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 KINGOLD BLVD",
            "address_2": "SUITE B",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801303",
            "telephone_number": "252-747-8181",
            "fax_number": "252-747-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 KINGOLD BLVD",
            "address_2": "SUITE B",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801303",
            "telephone_number": "252-747-8181",
            "fax_number": "252-747-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GREENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "SPENCE",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-747-8183"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0721Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County Department of Public Health - Mass Immunizations",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Greene County Department of Public Health - Mass Immunizations",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snow Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.