Provider Demographics
NPI:1225170525
Name:HARRISON COUNTY
Entity Type:Organization
Organization Name:HARRISON COUNTY
Other - Org Name:HARRISON COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-942-2616
Mailing Address - Street 1:538 N MAIN ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-1269
Mailing Address - Country:US
Mailing Address - Phone:740-942-2616
Mailing Address - Fax:740-942-9331
Practice Address - Street 1:538 N MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-1282
Practice Address - Country:US
Practice Address - Phone:740-942-2616
Practice Address - Fax:740-942-9331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0793404Medicaid
OH0793404Medicaid