Provider Demographics
NPI:1831296193
Name:COUNTY OF WARREN
Entity Type:Organization
Organization Name:COUNTY OF WARREN
Other - Org Name:WARREN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-257-6026
Mailing Address - Street 1:544 W RIDGEWAY ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27589-1716
Mailing Address - Country:US
Mailing Address - Phone:252-257-6026
Mailing Address - Fax:252-257-2897
Practice Address - Street 1:544 W RIDGEWAY ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1716
Practice Address - Country:US
Practice Address - Phone:252-257-6000
Practice Address - Fax:252-257-2897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
07193OtherBCBS
7064087OtherMAMSI
129537OtherWELLPATH
7064087OtherMAMSI
=========OtherGLEN RAVEN,INC
=========OtherHUMANA GOLD CHOICE
=========006OtherCIGNA
=========OtherGLEN RAVEN,INC