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NPI Code Detail

MEDICARE: COUNTY OF WILSON

MEDICARE: COUNTY OF WILSON
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
1261QC1500XCommunity Health Clinic/CenterNC
2261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
107194OTHERNCBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568517746
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF WILSON
Provider Business Mailing Address
First Line : 1801 GLENDALE DR SW
Second Line :
City : WILSON
State : NC
Zip : 27893-4401
Country : US
Telephone Number : 252-291-5470
Fax Number : 252-293-8300
Provider Business Practice Location Address
First Line : 1801 GLENDALE DR SW
Second Line :
City : WILSON
State : NC
Zip : 27893-4401
Country : US
Telephone Number : 252-291-5470
Fax Number : 252-293-8300
Authorized Official
Title or Position : FINANCE OFFICER
Name : MRS. CINNAMON H NARRON
Credential : MPA
Telephone Number : 252-291-5470
Provider Enumeration Date : 01/25/2007
Last Update Date : 08/09/2012

Similar Medicare Providers

1093344277 — MISS BRITTANY BOONE DARBY WHNP-BC
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
Practice Phone: 252-237-3141
Practice Fax:
1457357048 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
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1932281540 — COUNTY OF WILSON
Practice Location Address:
1817 GLENDALE DRIVE SW
WILSON, NC
27893-4401
Practice Phone: 252-265-5558
Practice Fax: 252-977-7099
1467507640 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
Practice Phone: 252-291-5470
Practice Fax: 252-293-8300
1376698555 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
Practice Phone: 252-291-5470
Practice Fax: 252-293-8300
1457496747 — DR. JERRY WILLIAM WILEY M.D.
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
Practice Phone: 252-237-3141
Practice Fax: 252-293-8301

Directions to “COUNTY OF WILSON ” Practice Location

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