Provider Demographics
NPI:1497854095
Name:DUBOIS COUNTY AUDITOR
Entity Type:Organization
Organization Name:DUBOIS COUNTY AUDITOR
Other - Org Name:DUBOIS COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:CARRIE
Authorized Official - Last Name:OEDING
Authorized Official - Suffix:
Authorized Official - Credentials:REHS
Authorized Official - Phone:812-481-7050
Mailing Address - Street 1:1187 S SAINT CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-2690
Mailing Address - Country:US
Mailing Address - Phone:812-481-7050
Mailing Address - Fax:812-481-7069
Practice Address - Street 1:1187 S SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-2690
Practice Address - Country:US
Practice Address - Phone:812-481-7050
Practice Address - Fax:812-481-7069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200824980Medicaid
INTA0520Medicare ID - Type Unspecified