Provider Demographics
NPI:1326230814
Name:TRUMBULL COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:TRUMBULL COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-675-7821
Mailing Address - Street 1:176 CHESTNUT AVE NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5803
Mailing Address - Country:US
Mailing Address - Phone:330-675-2489
Mailing Address - Fax:330-675-2494
Practice Address - Street 1:194 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410
Practice Address - Country:US
Practice Address - Phone:330-675-2489
Practice Address - Fax:330-675-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0347128OtherBCMH
OH0980363Medicaid
OH321600OtherANTHEM SENIOR ADVANTAGE
OH321600OtherANTHEM SENIOR ADVANTAGE