Provider Demographics
NPI:1386643617
Name:WOOD COUNTY AUDITOR
Entity Type:Organization
Organization Name:WOOD COUNTY AUDITOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CECIL
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:419-353-8411
Mailing Address - Street 1:1965 E GYPSY LANE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-9396
Mailing Address - Country:US
Mailing Address - Phone:419-353-8411
Mailing Address - Fax:419-353-2394
Practice Address - Street 1:1965 E GYPSY LANE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-9564
Practice Address - Country:US
Practice Address - Phone:419-353-8411
Practice Address - Fax:419-353-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0172950Medicaid
OH365458Medicare ID - Type Unspecified