Provider Demographics
NPI:1326108838
Name:WARREN COUNTY
Entity Type:Organization
Organization Name:WARREN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:
Authorized Official - Last Name:STANSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:M PH
Authorized Official - Phone:513-695-1566
Mailing Address - Street 1:416 S EAST ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-2378
Mailing Address - Country:US
Mailing Address - Phone:513-695-1566
Mailing Address - Fax:
Practice Address - Street 1:416 S EAST ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-2378
Practice Address - Country:US
Practice Address - Phone:513-695-1566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH090229OtherMOLINA
OH0980229Medicaid
OH303363OtherAMERIGROUP
OH14945OtherCARE SOURCE
OH0980229Medicaid