Provider Demographics
NPI:1568148468
Name:TIPTON COUNTY BOARD OF COMMISSIONERS
Entity Type:Organization
Organization Name:TIPTON COUNTY BOARD OF COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-675-8741
Mailing Address - Street 1:101 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:TIPTON
Mailing Address - State:IN
Mailing Address - Zip Code:46072-1940
Mailing Address - Country:US
Mailing Address - Phone:765-675-8741
Mailing Address - Fax:765-675-6952
Practice Address - Street 1:101 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:IN
Practice Address - Zip Code:46072-1940
Practice Address - Country:US
Practice Address - Phone:765-675-8741
Practice Address - Fax:765-675-6952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local