Provider Demographics
NPI:1396387791
Name:SALEM CITY HEALTH DISTRICT
Entity Type:Organization
Organization Name:SALEM CITY HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:RS
Authorized Official - Phone:330-332-1618
Mailing Address - Street 1:230 N LINCOLN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-2950
Mailing Address - Country:US
Mailing Address - Phone:330-332-1618
Mailing Address - Fax:330-332-8309
Practice Address - Street 1:230 N LINCOLN AVE STE 104
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-2950
Practice Address - Country:US
Practice Address - Phone:330-332-1618
Practice Address - Fax:330-332-8309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty