Healthcare Provider Details

I. General information

NPI: 1831296193
Provider Name (Legal Business Name): COUNTY OF WARREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 W RIDGEWAY ST
WARRENTON NC
27589-1716
US

IV. Provider business mailing address

544 W RIDGEWAY ST
WARRENTON NC
27589-1716
US

V. Phone/Fax

Practice location:
  • Phone: 252-257-6000
  • Fax: 252-257-2897
Mailing address:
  • Phone: 252-257-6026
  • Fax: 252-257-2897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHARON J BARTHOLOMEW
Title or Position: ADMINISTRATIVE OFFICER
Credential:
Phone: 252-257-6026