Provider Demographics
NPI:1518391127
Name:EAST LIVERPOOL HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:EAST LIVERPOOL HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JELAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-386-7400
Mailing Address - Street 1:126 W SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-2960
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:126 W SIXTH ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2960
Practice Address - Country:US
Practice Address - Phone:330-386-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare