Provider Demographics
NPI:1326161050
Name:COUNTY OF HOCKING
Entity Type:Organization
Organization Name:COUNTY OF HOCKING
Other - Org Name:HOCKING COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-385-3030
Mailing Address - Street 1:350 STATE ROUTE 664 N
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-8931
Mailing Address - Country:US
Mailing Address - Phone:740-385-3030
Mailing Address - Fax:740-385-2252
Practice Address - Street 1:350 STATE ROUTE 664 N
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-8931
Practice Address - Country:US
Practice Address - Phone:740-385-3030
Practice Address - Fax:740-385-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35033609251K00000X
OH35068864251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0980158Medicaid
OHHOFV93231Medicare ID - Type Unspecified