Provider Demographics
NPI:1326112095
Name:MARION COUNTY AUDITOR
Entity Type:Organization
Organization Name:MARION COUNTY AUDITOR
Other - Org Name:MARION PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JANCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-387-6520
Mailing Address - Street 1:181 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-3964
Mailing Address - Country:US
Mailing Address - Phone:740-387-6520
Mailing Address - Fax:740-383-2546
Practice Address - Street 1:181 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-3964
Practice Address - Country:US
Practice Address - Phone:740-387-6520
Practice Address - Fax:740-383-2546
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARION COUNTY AUDITOR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-17
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0568916Medicaid
OH06334Medicaid
OH0835761Medicaid
OH0835761Medicaid
OHFV91331Medicare PIN