Provider Demographics
NPI:1174671796
Name:PORTAGE COUNTY AUDITOR
Entity Type:Organization
Organization Name:PORTAGE COUNTY AUDITOR
Other - Org Name:PORTAGE COUNTYCOMBINED GENERAL HEALTH DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:330-296-9919
Mailing Address - Street 1:449 S. MERIDIAN STREET
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266
Mailing Address - Country:US
Mailing Address - Phone:330-296-9919
Mailing Address - Fax:330-297-3597
Practice Address - Street 1:449 S. MERIDIAN STREET
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266
Practice Address - Country:US
Practice Address - Phone:330-296-9919
Practice Address - Fax:330-297-3597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1043235427Medicare ID - Type UnspecifiedMEDICAL DIRECTOR