NPIMap

Organization Active NPI

County of Stanly

  • State or Local Public Health Clinic/Center
  • Albemarle, NC
National Provider Identifier
1942349519
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF STANLY
Practice address
1000 N 1St St
Suite 3
Albemarle, NC 28001-2819
Phone
(704) 982-9171
Fax
(704) 982-8354
NPI assigned
Feb 6, 2007
Organization subpart
Yes
Parent organization
COUNTY OF STANLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dennis R Joyner
Title
Health Director
Phone
(704) 982-9171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NC
State or Local Public Health Clinic/Center 261QP0905X NC Primary

Addresses

Primary practice location

1000 N 1St St
Suite 3
Albemarle, NC 28001-2819

Mailing address

1000 N 1St St
Suite 3
Albemarle, NC 28001-2819
Phone (704) 982-9171

Other names 1

  • Stanly Co Hlth Dept - Mass Immunization Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000000 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2466594619 Practice locations: Albemarle, NC

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Stanly County Department of Social Services8 organizations share this tax ID, including this one
Part of
Stanly County Department of Social Services

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1321920000000",
    "number": "1942349519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N 1ST ST",
            "address_2": "SUITE 3",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012819",
            "telephone_number": "704-982-9171",
            "fax_number": "704-982-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 1ST ST",
            "address_2": "SUITE 3",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012819",
            "telephone_number": "704-982-9171",
            "fax_number": "704-982-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STANLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF STANLY",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "704-982-9171"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanly Co Hlth Dept - Mass Immunization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.