NPIMap

Organization Active NPI

County of Wilkes

Doing business as Wilkes County DSS

  • State or Local Public Health Clinic/Center
  • Wilkesboro, NC
National Provider Identifier
1962565788
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF WILKES
Doing business as
Wilkes County DSS
Wilkes County Health Department
Practice address
306 College St
Wilkesboro, NC 28697-2854
Phone
(336) 651-7450
Fax
(336) 651-7472
NPI assigned
Dec 19, 2006
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF WILKESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Nancy C Moretz
Title
Finance Administrator
Phone
(336) 651-7460

Specialties & licenses 1

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

Addresses

Primary practice location

306 College St
Wilkesboro, NC 28697-2854

Mailing address

306 College St
Wilkesboro, NC 28697-2854
Phone (336) 651-7450

Other identifiers 2

IdentifierTypeStateIssuer
07095OtherNCBLUECROSSBLUESHIELD
3404397MedicaidNC

Other names 2

  • Wilkes County DSS Doing business as
  • Wilkes County Health Department Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100601000390 NC Part B Supplier - Clinic/Group Practice 2668529157 Receives reassigned benefits from 20 practitioners
Practice locations: Wilkesboro, NC
O20210524001586 NC MDPP Supplier - in-Person MDPP Supplier 2668529157 Practice locations: Wilkesboro, 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
Part of
Wilkes Co Health Dept

Locations

5200 Boone Trl
Millers Creek, NC 28651
Phone (336) 838-3213

2864 Elkin Hwy 268
North Wilkesboro, NC 28659
Phone (336) 667-4732

234 Jefferson St
North Wilkesboro, NC 28659
Phone (336) 667-0460

400 S Cherry St
Wilkesboro, NC 28697
Phone (336) 667-6228

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1962565788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972854",
            "telephone_number": "336-651-7450",
            "fax_number": "336-651-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972854",
            "telephone_number": "336-651-7450",
            "fax_number": "336-651-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WILKES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF WILKES",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "MORETZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-651-7460"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "07095",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404397",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes County DSS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilkes County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.