MEDICARE: BEAUFORT COUNTY 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
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1184875098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUFORT COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	1436 HIGHLAND DR
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-3222
Country	:	US
Telephone Number	:	252-946-1902
Fax Number	:	252-946-8430

Provider Business Practice Location Address
First Line	:	1436 HIGHLAND DR
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-3222
Country	:	US
Telephone Number	:	252-946-1902
Fax Number	:	252-946-8430

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	MRS. ROXANNE HOLLOMAN
Credential	:
Telephone Number	:	252-946-1902

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	07/20/2020

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Directions to “BEAUFORT COUNTY HEALTH DEPARTMENT ” Practice Location

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