Provider Demographics
NPI:1730233750
Name:COUNTY OF TRANSYLVANIA
Entity type:Organization
Organization Name:COUNTY OF TRANSYLVANIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:828-884-3135
Mailing Address - Street 1:98 EAST MORGAN STREET
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3718
Mailing Address - Country:US
Mailing Address - Phone:828-884-3135
Mailing Address - Fax:828-884-3140
Practice Address - Street 1:98 EAST MORGAN STREET
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3718
Practice Address - Country:US
Practice Address - Phone:828-884-3135
Practice Address - Fax:828-884-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251B00000XAgenciesCase Management
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300048Medicaid