APPALACHIAN DISTRICT HEALTH DEPARTMENT (NPI# 1043761513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043761513 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN DISTRICT HEALTH DEPARTMENT |
| Other Organization Name | APPHEALTH DENTAL-ASHE |
| Practice Address |
413 Mcconnell St Jefferson NC 28640-9772 |
| Mailing Address |
Po Box 208 Jefferson NC 28640-0208 |
| Practice Telephone | 3362469449 |
| Practice Fax Number | 3362468163 |
| Mailing Telephone | 3362469449 |
| Mailing Fax Number | 3362468163 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | DARYL BETH LOVETTE (HEALTH DIRECTOR) |
| Authorized Official Telephone | 8282644995 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPALACHIAN DISTRICT HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
10356 | NC | Dental Providers |
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 2344747A | 01 |
| NC | 3404305 | 05 |
| Other Name | Type Code |
|---|---|
| AppHealth Dental-Ashe | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670607 | Appalachian District Health Department | Clinic/Center | 255 Northwest Ln, Warrensville, NC 28693-9244 | 2016-10-20 |
| 1285081562 | Appalachian District Health Department | Public Health or Welfare | 255 Northwest Lane, Warrensville, NC 28693 | 2016-05-17 |
| 1538270814 | Appalachian District Health Department | Public Health or Welfare | 157 Health Services Rd, Sparta, NC 28675-3000 | 2006-08-31 |
| 1861943334 | Appalachian District Health Department | Dentist | 157 Health Services Rd, Sparta, NC 28675-3000 | 2016-10-20 |
| 1134313539 | Appalachian District Health Department | Public Health or Welfare | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2007-08-29 |
| 1780729897 | Appalachian District Health Department | Public Health or Welfare | 157 Health Services Rd, Sparta, NC 28675-3000 | 2007-02-20 |
| Street Address |
413 MCCONNELL ST |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659395747 | Melinda A Bogardus | Nurse Practitioner | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2006-07-26 |
| 1336796739 | Nathan J Bates | Family Medicine | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2019-08-20 |
| 1679055107 | William Powell | Nurse Practitioner | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2018-08-31 |
| 1497273049 | Marisa Gabrielle Schorr | Psychologist | 413 Mcconnell St, Jefferson, NC 28640 | 2017-09-05 |
| 1407204340 | Thomas Keaton Mash | Dentist | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2016-06-01 |
| 1407135106 | Sarah Jane Garvick | Physician Assistant | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2011-08-11 |
| 1417287681 | Paula A Williams | Dietitian, Registered | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2010-01-11 |
| 1689807810 | Diana H. Renfro | Dietitian, Registered | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2009-09-04 |
| 1649402868 | Maggi Jane Birdsell | Dietitian, Registered | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2009-08-21 |
| 1427121144 | Appalachian District Health Dept. | Public Health or Welfare | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649317686 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-01-31 |
| 1942733407 | Jackson County Health Department | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2017-04-11 |
| 1871799205 | Northeast Health District - Epsdt County | Clinic/Center | 341 Stan Evans Dr, Jefferson, GA 30549-2909 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670607 | Appalachian District Health Department | Clinic/Center | 255 Northwest Ln, Warrensville, NC 28693-9244 | 2016-10-20 |
| 1346626587 | Forsyth County Dba Cleveland Avenue Dental Center | Clinic/Center | 501 N Cleveland Ave Ste 1, Winston Salem, NC 27101-4366 | 2015-08-10 |
| 1912031873 | Wakecountyhumanservices | Clinic/Center | 400 Triple Crown Cir, Clayton, NC 27527-6275 | 2007-03-15 |
| 1356498794 | County of Brunswick | Clinic/Center | 75 Stamp Act Dr, Bolivia, NC 28422-8320 | 2007-01-05 |
| 1023172228 | Cherokee County | Clinic/Center | 228 Hilton St, Murphy, NC 28906-2814 | 2006-12-21 |
| 1619058955 | County of Franklin | Clinic/Center | 107 Industrial Drive, Suite C, Louisburg, NC 27549 | 2006-10-17 |
| 1225076615 | Dimensions Healthcare, LLC | Clinic/Center | 1421c S Glenburnie Rd, New Bern, NC 28562-2603 | 2006-06-04 |
| 1316914534 | County of Stokes | Clinic/Center | 1009 N. Main Street, Danbury, NC 27016-0187 | 2006-03-07 |
| 1770183436 | County of Pitt Office of Auditor | Clinic/Center | 201 Government Cir, Greenville, NC 27834-8198 | 2020-10-30 |
| 1518518901 | The Caswell Family Medical Center, Inc | Clinic/Center | 189 County Park Rd, Yanceyville, NC 27379-9376 | 2019-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.