MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT (NPI# 1194706671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194706671 |
| Entity Type | Organization |
| Organization Name | MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT |
| Practice Address |
198 Nc Highway 45 N Plymouth NC 27962-9232 |
| Practice Telephone | 2527933023 |
| Practice Fax Number | 2527913159 |
| Mailing Telephone | 2527933023 |
| Mailing Fax Number | 2527913159 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | KATHLEEN D JONES (HEALTH DIRECTOR) |
| Authorized Official Telephone | 2527933023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
04443 | NC | Suppliers |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
04441 | NC | Suppliers |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
04442 | NC | Suppliers |
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE RAILROAD | 600002448 | 01 |
| NC | CLIA NUMBER | 34D0865324 | 01 |
| NC | 3404410 | 05 | |
| NC | MEDCOST GENERAL | 98153C | 01 |
| NC | BLUE CROSS GENERAL | 07059 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528112984 | Martin Tyrrell Washington District Health Department | Clinical Medical Laboratory | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-23 |
| 1275687634 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-23 |
| 1104970714 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| 1679627293 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| 1689728297 | Martin Tyrrell Washington District Health Department | Case Management | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| 1235283847 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT | 198 Nc Hwy 45 N, Plymouth, NC 27962-9232 |
| Street Address |
198 NC HIGHWAY 45 N |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010210 | Martin-tyrrell-washington District Health Department | Hospice Care, Community Based | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2005-08-16 |
| 1467971325 | Tiffany Gray Moon | Nurse Practitioner | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2017-09-12 |
| 1083972566 | Latoya Mone Harris-freeman | Counselor | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2012-05-02 |
| 1225334568 | Martin Tyrrell Washington District Health Dept | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2011-02-03 |
| 1700187754 | Angie Kay Jarrell | Licensed Practical Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-08 |
| 1992005250 | Tempie Phelps Lancaster | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1508166885 | Katherine Winesett Davis | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1497055743 | Kimberly Elliott Hough | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1134431117 | Renea Swain Price | Nurse Practitioner | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-07-08 |
| 1518298223 | Sarah Mayfield Overholt | Dietitian, Registered | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225334568 | Martin Tyrrell Washington District Health Dept | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2011-02-03 |
| 1679627293 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670607 | Appalachian District Health Department | Clinic/Center | 255 Northwest Ln, Warrensville, NC 28693-9244 | 2016-10-20 |
| 1346626587 | Forsyth County Dba Cleveland Avenue Dental Center | Clinic/Center | 501 N Cleveland Ave Ste 1, Winston Salem, NC 27101-4366 | 2015-08-10 |
| 1912031873 | Wakecountyhumanservices | Clinic/Center | 400 Triple Crown Cir, Clayton, NC 27527-6275 | 2007-03-15 |
| 1356498794 | County of Brunswick | Clinic/Center | 75 Stamp Act Dr, Bolivia, NC 28422-8320 | 2007-01-05 |
| 1023172228 | Cherokee County | Clinic/Center | 228 Hilton St, Murphy, NC 28906-2814 | 2006-12-21 |
| 1619058955 | County of Franklin | Clinic/Center | 107 Industrial Drive, Suite C, Louisburg, NC 27549 | 2006-10-17 |
| 1225076615 | Dimensions Healthcare, LLC | Clinic/Center | 1421c S Glenburnie Rd, New Bern, NC 28562-2603 | 2006-06-04 |
| 1316914534 | County of Stokes | Clinic/Center | 1009 N. Main Street, Danbury, NC 27016-0187 | 2006-03-07 |
| 1770183436 | County of Pitt Office of Auditor | Clinic/Center | 201 Government Cir, Greenville, NC 27834-8198 | 2020-10-30 |
| 1518518901 | The Caswell Family Medical Center, Inc | Clinic/Center | 189 County Park Rd, Yanceyville, NC 27379-9376 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.