# WARREN-VANCE COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Outreach Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629369368
- **Authorized official:** DR. MICHELLE COLLINS OGLE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (252) 492-2161

## Contact information

- **Practice address:** 816 US 158 BUSINESS WEST, 102, WARRENTON, NC 27589
- **Practice address phone:** (252) 257-6213
- **Practice address fax:** (252) 257-3286
- **Mailing address:** 816 US 158 BUSINESS WEST, 102, WARRENTON, NC 27589
- **Mailing address phone:** (252) 257-6213
- **Mailing address fax:** (252) 257-3286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 1077723 | NC | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 04/28/2011