NPIMap

Organization Active NPI

Hyde County DSS

  • Case Manager/Care Coordinator
  • Swan Quarter, NC
National Provider Identifier
1730228511
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HYDE COUNTY DSS
Practice address
1430 Main Street
Swan Quarter, NC 27885
Phone
(252) 926-4476
Fax
(252) 926-3711
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Mrs. Gloria Collins Spencer
Title
Director
Phone
(252) 926-4476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X NC Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

1430 Main Street
Swan Quarter, NC 27885

Mailing address

1430 Main Street
Swan Quarter, NC 27885
Phone (252) 926-4476

Other identifiers 2

IdentifierTypeStateIssuer
8700091MedicaidNC
3408616MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Hyde County DSS Mattamuskeet Opportunties Adap Center5 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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1730228511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAIN STREET",
            "city": "SWAN QUARTER",
            "state": "NC",
            "postal_code": "27885",
            "telephone_number": "252-926-4476",
            "fax_number": "252-926-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MAIN STREET",
            "city": "SWAN QUARTER",
            "state": "NC",
            "postal_code": "27885",
            "telephone_number": "252-926-4476",
            "fax_number": "252-926-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-926-4476",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700091",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408616",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swan Quarter, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.