Healthcare Provider Details

I. General information

NPI: 1750463873
Provider Name (Legal Business Name): COUNTY OF WARREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 U S HWY 158 BY-PASS
WARRENTON NC
27589-0859
US

IV. Provider business mailing address

PO BOX 859
WARRENTON NC
27589-0859
US

V. Phone/Fax

Practice location:
  • Phone: 252-257-1191
  • Fax: 252-257-4779
Mailing address:
  • Phone: 252-257-1191
  • Fax: 252-257-4779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. CHRISTOPHER M TUCKER
Title or Position: EMS DIVISION CHIEF
Credential:
Phone: 252-257-1191