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NPI Code Detail

MEDICARE: MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT

MEDICARE: MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHC0523NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200753OTHERNCBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1083606206
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 198 NC HIGHWAY 45 N
Second Line :
City : PLYMOUTH
State : NC
Zip : 27962-9232
Country : US
Telephone Number : 252-791-3138
Fax Number : 252-791-3158
Provider Business Practice Location Address
First Line : 198 NC HIGHWAY 45 N
Second Line :
City : PLYMOUTH
State : NC
Zip : 27962-9232
Country : US
Telephone Number : 252-791-3138
Fax Number : 252-791-3158
Authorized Official
Title or Position : HOME CARE DIRECTOR
Name : KATHERINE W DAVIS
Credential : RN
Telephone Number : 252-791-3145
Provider Enumeration Date : 08/16/2005
Last Update Date : 11/29/2022

Similar Medicare Providers

1124010210 — MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice Location Address:
198 NC HIGHWAY 45 N
PLYMOUTH, NC
27962-9232
Practice Phone: 252-791-3138
Practice Fax: 252-791-3158
1194706671 — MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice Location Address:
198 NC HIGHWAY 45 N
PLYMOUTH, NC
27962-9232
Practice Phone: 252-793-3023
Practice Fax: 252-791-3159
1558345983 — MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT
Practice Location Address:
198 NC HIGHWAY 45 N
PLYMOUTH, NC
27962-9232
Practice Phone: 252-793-3023
Practice Fax: 252-791-3159
1639242530 — MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice Location Address:
198 NC HIGHWAY 45 N
PLYMOUTH, NC
27962-9232
Practice Phone: 252-793-3023
Practice Fax:
1861566408 — MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice Location Address:
198 NC HIGHWAY 45 N
PLYMOUTH, NC
27962-9232
Practice Phone: 252-793-3023
Practice Fax:
1891861522 — JOHN ARLIE FRANCIS MD
Practice Location Address:
198 NC HIGHWAY 45 N
PLYMOUTH, NC
27962-9232
Practice Phone: 252-791-3111
Practice Fax: 252-791-3159

Directions to “MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT ” Practice Location

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