NPIMap

Organization Active NPI

Yadkin County DSS

  • Case Management Agency
  • Yadkinville, NC
National Provider Identifier
1912026576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8700050 Issued in NC
Legal business name
YADKIN COUNTY DSS
Practice address
205 E. Main St
Yadkinville, NC 27055
Phone
(336) 679-3385
Fax
(336) 679-8636
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edsel B Wooten Jr.
Title
Director
Phone
(336) 679-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8700050 NC Primary

Addresses

Primary practice location

205 E. Main St
Yadkinville, NC 27055

Mailing address

PO Box 548
Yadkinville, NC 27055-0548
Phone (336) 679-4210

National Provider Directory

National Provider Directory
Tax ID family
Yadkins County HLTH Dep6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912026576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550548",
            "telephone_number": "336-679-4210",
            "fax_number": "336-679-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E. MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-679-3385",
            "fax_number": "336-679-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADKIN COUNTY DSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "EDSEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-679-4210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8700050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.