Provider Demographics
NPI:1467470393
Name:ST. JOSEPH COUNTY AUDITOR
Entity Type:Organization
Organization Name:ST. JOSEPH COUNTY AUDITOR
Other - Org Name:ST. JOSEPH COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-235-9750
Mailing Address - Street 1:227 W JEFFERSON BLVD
Mailing Address - Street 2:8TH FLOOR, COUNTY-CITY BUILDING
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-1830
Mailing Address - Country:US
Mailing Address - Phone:574-235-9750
Mailing Address - Fax:574-235-9960
Practice Address - Street 1:227 W JEFFERSON BLVD
Practice Address - Street 2:8TH FLOOR, COUNTY-CITY BUILDING
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-1830
Practice Address - Country:US
Practice Address - Phone:574-235-9574
Practice Address - Fax:574-235-9960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01017237A251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100221960AMedicaid
IN100221960AMedicaid
INP00060218Medicare ID - Type UnspecifiedRAILROAD - INFLUENZA