Provider Demographics
NPI:1447399118
Name:PICKAWAY COUNTY AUDITOR
Entity Type:Organization
Organization Name:PICKAWAY COUNTY AUDITOR
Other - Org Name:PICKAWAY COUNTY GENERAL HEALTH DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:740-477-9667
Mailing Address - Street 1:PO BOX 613
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-0613
Mailing Address - Country:US
Mailing Address - Phone:740-477-9667
Mailing Address - Fax:740-420-6102
Practice Address - Street 1:110 ISLAND RD
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-9107
Practice Address - Country:US
Practice Address - Phone:740-477-9667
Practice Address - Fax:740-420-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0367384Medicaid
OH0367384Medicaid