NPIMap

Organization Active NPI

County of Jackson

  • State or Local Public Health Clinic/Center
  • Sylva, NC
National Provider Identifier
1992842348
Registry record updated Nov 9, 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 JACKSON
Practice address
538 Scotts Creek Road
Suite 100
Sylva, NC 28779-5281
Phone
(828) 586-8994
Fax
(828) 631-3617
NPI assigned
Feb 1, 2007
Organization subpart
Yes
Parent organization
JACKSON COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Ms. Paula G. Carden, MSPA
Title
Health Director
Phone
(828) 586-8994

Specialties & licenses 2

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

Addresses

Primary practice location

538 Scotts Creek Road
Suite 100
Sylva, NC 28779-5281

Mailing address

538 Scotts Creek Road
Suite 100
Sylva, NC 28779-5281
Phone (828) 586-8994

Other names 1

  • Jackson Co. Health Mass Immunization Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000767 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4183681026 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sylva, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Jackson Co Emerg Med SVC4 organizations share this tax ID, including this one
Part of
Jackson Co Emerg Med SVC

Other organizations with this tax ID 3

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

Locations

538 Scotts Creek Rd
Sylva, NC 28779
Phone (828) 586-8994

Practitioners & affiliated clinicians

Practitioners 2

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1992842348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK ROAD",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795281",
            "telephone_number": "828-586-8994",
            "fax_number": "828-631-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK ROAD",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795281",
            "telephone_number": "828-586-8994",
            "fax_number": "828-631-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JACKSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "CARDEN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-586-8994",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Co. Health Mass Immunization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.