Organization
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CRITCHER BARNES (HEALTH DIRECTOR)
(252) 791-3101
Entity
Organization
Contact information
Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 793-3023
(252) 791-3159
Mailing address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 793-3023
(252) 791-3159
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
04441
NC
3336C0002X
Clinic Pharmacy
04442
NC
3336C0002X
Clinic Pharmacy
04443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07059
BLUE CROSS GENERAL
NC
05
—
3404410
—
NC
01
—
34D0865324
CLIA NUMBER
NC
01
—
600002448
MEDICARE RAILROAD
NC
01
—
98153C
MEDCOST GENERAL
NC
01
—
=========
COMMERCIAL GENERAL
NC
Enumeration date
11/10/2005
Last updated
02/25/2025
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