Provider Demographics
NPI:1457682627
Name:PIQUA CITY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:PIQUA CITY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WELKER
Authorized Official - Suffix:
Authorized Official - Credentials:RS
Authorized Official - Phone:937-778-2060
Mailing Address - Street 1:201 W WATER ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2235
Mailing Address - Country:US
Mailing Address - Phone:937-778-2060
Mailing Address - Fax:937-778-0050
Practice Address - Street 1:201 W WATER ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2235
Practice Address - Country:US
Practice Address - Phone:937-778-2060
Practice Address - Fax:937-778-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare