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Organization

WARREN COMMUNITY HEALTH CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY JONES SOMERVILLE ETC (EXECUTIVE DIRECTOR)
(252) 257-1904
Entity
Organization

Contact information

Practice address
546 W RIDGEWAY ST, WARRENTON, NC 27589-1716
(252) 257-1904
(252) 257-1142
Mailing address
546 W RIDGEWAY ST, WARRENTON, NC 27589-1716
(252) 257-1904
(252) 257-1142

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
261QP2300X
Primary Care Clinic/Center
261QR1300X
Rural Health Clinic/Center
305S00000X
Point of Service
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D901
PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
NC
Enumeration date
06/10/2011
Last updated
11/03/2014
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