MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT (NPI# 1124010210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124010210 |
| Entity Type | Organization |
| Organization Name | MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT |
| Other Organization Name | ROANOKE HOME CARE & HOSPICE |
| Practice Address |
198 Nc Highway 45 N Plymouth NC 27962-9232 |
| Practice Telephone | 2527913138 |
| Practice Fax Number | 2527913158 |
| Mailing Telephone | 2527913138 |
| Mailing Fax Number | 2527913158 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHERINE DAVIS (HOME CARE DIRECTOR) |
| Authorized Official Telephone | 2527913152 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HC0523 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 0024A | 01 |
| NC | 3401572 | 05 |
| Other Name | Type Code |
|---|---|
| Roanoke Home Care & Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124191952 | Martin-tyrrell-washington District Health Department | Home Health | 408 Bridge Street, Columbia, NC 27925-9757 | 2006-11-17 |
| 1861566408 | Martin-tyrrell-washington District Health Department | Home Health | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2006-11-17 |
| 1639242530 | Martin-tyrrell-washington District Health Department | Home Health | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2006-11-16 |
| 1083606206 | Martin-tyrrell-washington District Health Department | Home Health | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2005-08-16 |
| Street Address |
198 NC HIGHWAY 45 N |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1487869707 | Anne Elizabeth Charles | Nurse Practitioner | 198 Nc Highway 45 N, Martin-tyrrell-washington District Health Department, Plymouth, NC 27962-9232 | 2007-05-11 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770952871 | Caring Hospice of Michigan LLC | Hospice Care, Community Based | 42213 Ann Arbor Rd E, Plymouth, MI 48170-4364 | 2015-09-18 |
| 1518205277 | Amedisys Hospice, LLC | Hospice Care, Community Based | 201 E Water St, Plymouth, NC 27962-1301 | 2013-01-30 |
| 1881672095 | Pemi-baker Community Health | Hospice Care, Community Based | 101 Boulder Point Dr, Suite 3, Plymouth, NH 03264-3170 | 2006-01-06 |
| 1730646555 | Pemi-baker Community Health | Hospice Care, Community Based | 101 Boulder Point Dr Ste 3, Plymouth, NH 03264-3170 | 2019-02-28 |
| 1801254685 | Haven Hospice Mi, LLC | Hospice Care, Community Based | 408 S Main St, Plymouth, MI 48170-1709 | 2016-02-08 |
| 1619347754 | Corpore Sano Home Health Care Inc. | Hospice Care, Community Based | 39475 Ann Arbor Rd E, Plymouth, MI 48170-4524 | 2015-10-01 |
| 1255720736 | Home Health Partners Hospice of Michigan LLC | Hospice Care, Community Based | 801 W Ann Arbor Trl, Suite #201, Plymouth, MI 48170-1694 | 2015-01-21 |
| 1073804423 | Diamond Home Health Care, Inc. | Hospice Care, Community Based | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2011-04-20 |
| 1164535084 | Beth Israel Deaconess Hospital Plymouth, Inc. | Hospice Care, Community Based | 36 Cordage Park Cir, Suite 326, Plymouth, MA 02360-7331 | 2006-08-16 |
| 1053353151 | Evercare Hospice, Inc. | Hospice Care, Community Based | 12755 Highway 55, Plymouth, MN 55441-3837 | 2006-06-12 |
| Find all providers in PLYMOUTH | ||||
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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.