Provider Demographics
NPI:1508801150
Name:SANDUSKY COUNTY OFFICE OF AUDITOR
Entity Type:Organization
Organization Name:SANDUSKY COUNTY OFFICE OF AUDITOR
Other - Org Name:SANDUSKY COUNTY GENERAL HEALTH DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:POLLICK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MED
Authorized Official - Phone:419-334-6377
Mailing Address - Street 1:2000 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-8560
Mailing Address - Country:US
Mailing Address - Phone:419-334-6161
Mailing Address - Fax:419-334-6194
Practice Address - Street 1:2000 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-8560
Practice Address - Country:US
Practice Address - Phone:419-334-6161
Practice Address - Fax:419-334-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH513196493251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0028544Medicaid
OH0028544Medicaid
OH367027Medicare Oscar/Certification