Provider Demographics
NPI:1093774242
Name:WASHINGTON CO
Entity Type:Organization
Organization Name:WASHINGTON CO
Other - Org Name:WASHINGTON COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:COURTNEY
Authorized Official - Last Name:WITSCHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-374-2782
Mailing Address - Street 1:342 MUSKINGUM DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750
Mailing Address - Country:US
Mailing Address - Phone:740-374-2782
Mailing Address - Fax:740-376-5810
Practice Address - Street 1:342 MUSKINGUM DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750
Practice Address - Country:US
Practice Address - Phone:740-374-2782
Practice Address - Fax:740-376-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0262200Medicaid
OHWAFV91211Medicare PIN