Provider Demographics
NPI:1437397080
Name:SWITZERLAND COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:SWITZERLAND COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-427-3220
Mailing Address - Street 1:727 HIGHWAY 56 STE 300
Mailing Address - Street 2:P.O. BOX 14
Mailing Address - City:VEVAY
Mailing Address - State:IN
Mailing Address - Zip Code:47043-9128
Mailing Address - Country:US
Mailing Address - Phone:812-427-3220
Mailing Address - Fax:812-427-0235
Practice Address - Street 1:727 HIGHWAY 56
Practice Address - Street 2:SUITE 300
Practice Address - City:VEVAY
Practice Address - State:IN
Practice Address - Zip Code:47043-9127
Practice Address - Country:US
Practice Address - Phone:812-427-3220
Practice Address - Fax:812-427-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INTA 4030251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
INTA 4030Medicare PIN