NPIMap

Organization Active NPI

Martin Tyrrell Washington District Health Department

Doing business as Martin County Health Department

  • State or Local Public Health Clinic/Center
  • Plymouth, NC
National Provider Identifier
1104970714
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
Doing business as
Martin County Health Department
Practice address
198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone
(252) 793-3023
Fax
(252) 791-3159
NPI assigned
Jan 22, 2007
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen D Jones
Title
Health Director
Phone
(252) 793-3023

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Health Service Clinic/Center 261QH0100X NU
Medical Specialty Clinic/Center 261QM2500X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary
Primary Care Clinic/Center 261QP2300X NU
Clinical Medical Laboratory 291U00000X NU
Clinic Pharmacy 3336C0002X 04443 NC

Addresses

Primary practice location

198 NC Highway 45 N
Plymouth, NC 27962-9232

Mailing address

198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone (252) 793-3023

Other identifiers 1

IdentifierTypeStateIssuer
3404358MedicaidNC

Other names 1

  • Martin County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MTW District Health Dep13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1104970714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023",
            "fax_number": "252-791-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023",
            "fax_number": "252-791-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-793-3023"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404358",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.