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1194706671

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
1	251B00000X	Case Management Agency
2	261QC1500X	Community Health Clinic/Center
3	261QD0000X	Dental Clinic/Center
4	261QF0050X	Non-Surgical Family Planning Clinic/Center
5	261QH0100X	Health Service Clinic/Center
6	261QM2500X	Medical Specialty Clinic/Center
7	261QP2300X	Primary Care Clinic/Center
8	291U00000X	Clinical Medical Laboratory
9	3336C0002X	Clinic Pharmacy	04443	NC
10	3336C0002X	Clinic Pharmacy	04441	NC
11	3336C0002X	Clinic Pharmacy	04442	NC
12	261QP0905X	State or Local Public Health Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	600002448	OTHER	NC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07059	OTHER	NC	BLUE CROSS GENERAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	34D0865324	OTHER	NC	CLIA NUMBER
4	98153C	OTHER	NC	MEDCOST GENERAL
5	=========	OTHER	NC	COMMERCIAL GENERAL
6	=========	OTHER	NC	TRI CARE GENERAL
8	=========	OTHER	NC	CIGNA GENERAL

General Provider Information

NPI Number	:	1194706671
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	:	252-793-3023
Fax Number	:	252-791-3159

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	:	252-793-3023
Fax Number	:	252-791-3159

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	NICOLE CRITCHER BARNES
Credential	:
Telephone Number	:	252-791-3101

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	02/25/2025

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

1083606206 — 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

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

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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