Provider Demographics
NPI:1750414264
Name:COUNTY OF WATAUGA OFFICE OF COUNTY ACCOUNTANT
Entity type:Organization
Organization Name:COUNTY OF WATAUGA OFFICE OF COUNTY ACCOUNTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF AGENCY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOITNOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-265-8090
Mailing Address - Street 1:132 POPLAR GROVE CONNECTOR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5915
Mailing Address - Country:US
Mailing Address - Phone:828-265-8090
Mailing Address - Fax:828-264-2060
Practice Address - Street 1:132 POPLAR GROVE CONNECTOR
Practice Address - Street 2:SUITE A
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5915
Practice Address - Country:US
Practice Address - Phone:828-265-8090
Practice Address - Fax:828-264-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332U00000X
NCHC0546251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408015Medicaid