Organization Active NPI

County of Hyde Office of Accountant

  • State or Local Public Health Clinic/Center
  • Swanquarter, NC
National Provider Identifier
1962405159
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF HYDE OFFICE OF ACCOUNTANT
Practice address
1151 Main Street
Swanquarter, NC 27885-0100
Phone
(252) 926-4200
Fax
(252) 926-3702
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Ms. Luana Carawan Gibbs
Title
Health Director
Phone
(252) 926-4387

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Medical Specialty Clinic/Center 261QM2500X
State or Local Public Health Clinic/Center 261QP0905X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

1151 Main Street
Swanquarter, NC 27885-0100

Mailing address

1151 Main Street
PO Box 100
Swanquarter, NC 27885-0100
Phone (252) 926-4200

Other identifiers 3

IdentifierTypeStateIssuer
07213OtherNCBCBS
3404348MedicaidNC
34DO865324OtherNCCLIA LICENSE

Other names 1

  • Hyde County Health Department Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130409000293 NC Part B Supplier - Clinic/Group Practice 1951438688 Receives reassigned benefits from 6 practitioners
Practice locations: Swanquarter, NC
O20130725000985 NC Part B Supplier - Public Health/Welfare Agency 1951438688 Practice locations: Swanquarter, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1151 Main St
Swanquarter, NC 27885
Phone (252) 926-4200

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1962405159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 MAIN STREET",
            "address_2": "PO BOX 100",
            "city": "SWANQUARTER",
            "state": "NC",
            "postal_code": "278850100",
            "telephone_number": "252-926-4200",
            "fax_number": "252-926-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MAIN STREET",
            "city": "SWANQUARTER",
            "state": "NC",
            "postal_code": "278850100",
            "telephone_number": "252-926-4200",
            "fax_number": "252-926-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HYDE OFFICE OF ACCOUNTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "LUANA",
        "authorized_official_middle_name": "CARAWAN",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-926-4387",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07213",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404348",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE",
            "identifier": "34DO865324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyde County Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hyde County Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Swanquarter, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.