Healthcare Provider Details

I. General information

NPI: 1184875098
Provider Name (Legal Business Name): BEAUFORT COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 HIGHLAND DR
WASHINGTON NC
27889-3222
US

IV. Provider business mailing address

1436 HIGHLAND DR
WASHINGTON NC
27889-3222
US

V. Phone/Fax

Practice location:
  • Phone: 252-946-1902
  • Fax: 252-946-8430
Mailing address:
  • Phone: 252-946-1902
  • Fax: 252-946-8430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROXANNE HOLLOMAN
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 252-946-1902