Provider Demographics
NPI:1477696102
Name:COUNTY OF VANCE OFFICE OF TREASURER
Entity type:Organization
Organization Name:COUNTY OF VANCE OFFICE OF TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-492-5001
Mailing Address - Street 1:350 RUIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2931
Mailing Address - Country:US
Mailing Address - Phone:252-492-5001
Mailing Address - Fax:252-438-5997
Practice Address - Street 1:500 N. BECKFORD DR.
Practice Address - Street 2:SUITE C
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2931
Practice Address - Country:US
Practice Address - Phone:252-492-5001
Practice Address - Fax:252-438-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408299Medicaid
NC8700013Medicaid