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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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