Toe River Health District

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TOE RIVER HEALTH DISTRICT

Doing business as

Mitchell County Health Department

Practice address

130 Forest Service Dr
Suite a
Bakersville, NC 28705-7047

Phone

(828) 688-2371

Fax

(828) 688-3866

NPI assigned

Mar 6, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Jenkins

Title

PHN Supervisor II

Phone

(828) 688-2371

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Mitchell County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Toe River Health District

  • State or Local Public Health Clinic/Center
  • Bakersville, NC
  • NPI 1295864452

  O20130703000611

  Same enrollment
• Yancey County Primary Care Center

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1902855786

  O20130703000611

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1952431520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FOREST SERVICE DR",
            "address_2": "SUITE A",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287057047",
            "telephone_number": "828-688-2371",
            "fax_number": "828-688-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FOREST SERVICE DR",
            "address_2": "SUITE A",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287057047",
            "telephone_number": "828-688-2371",
            "fax_number": "828-688-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOE RIVER HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PHN SUPERVISOR II",
        "authorized_official_telephone_number": "828-688-2371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00198058",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0865328",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Shultz, PHARMD
• Patricia Silver, FNP
• Barbara Anne Stagg, M.D.
• Brittany F Thomason
• Toe River Health District
• Marguerite Marie Van Der Vorst
• Kimberly Westall, LPC
• Kathy Wike, CNM
• Brandi Briggs Wilson, NP-C
• Brooke Wilson, LCMHCA

• Case Management Agency in Bakersville, NC
• Providers in Bakersville, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.