NPIMap

Organization Active NPI

Mitchell County DSS

  • Case Management Agency
  • Bakersville, NC
National Provider Identifier
1871781690
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MITCHELL COUNTY DSS
Practice address
347 Longview Dr
Bakersville, NC 28705-9600
Phone
(828) 688-2175
Fax
(828) 688-4940
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Miss Paula Holtsclaw
Title
Director
Phone
(828) 688-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

347 Longview Dr
Bakersville, NC 28705-9600

Mailing address

347 Longview Dr
Bakersville, NC 28705-9600
Phone (828) 688-2175

Other identifiers 1

IdentifierTypeStateIssuer
8700019MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
County of Mitchell4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

347 Longview Dr
Bakersville, NC 28705
Phone (828) 688-2175

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": "1361318400000",
    "number": "1871781690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 LONGVIEW DR",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287059600",
            "telephone_number": "828-688-2175",
            "fax_number": "828-688-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 LONGVIEW DR",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287059600",
            "telephone_number": "828-688-2175",
            "fax_number": "828-688-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "HOLTSCLAW",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-688-2175",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.