| Organization Name: | WARREN-VANCE COMMUINTY HEALTH CENTER |
| NPI Number: | 1194016915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE COLLINS OGLE (MEDICAL DIRECTOR) |
| Mailing Address: | 6010a Nc Highway 561 Louisburg |
| State: | NC US |
| Postal Code: | 275498836 |
| Phone Number: | 9193400283 |
| Fax Number: | 9193400286 |
| NPI Enumeration Date: | 04/27/2011 |
| NPI Last Update Date: | 04/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 1077723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |