Provider Demographics
NPI:1639281074
Name:FULTON COUNTY
Entity Type:Organization
Organization Name:FULTON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-337-9255
Mailing Address - Street 1:152 S FULTON ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WAUSEON
Mailing Address - State:OH
Mailing Address - Zip Code:43567
Mailing Address - Country:US
Mailing Address - Phone:419-337-9207
Mailing Address - Fax:419-337-9274
Practice Address - Street 1:152 S FULTON ST
Practice Address - Street 2:SUITE 250
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567
Practice Address - Country:US
Practice Address - Phone:419-337-9255
Practice Address - Fax:419-337-9285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-03077003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0429101Medicaid
OH000000156057OtherANTHEM BC/BS
OH10266OtherPARAMOUNT HEALTHCARE
OH000000156057OtherANTHEM BC/BS
OH9131352Medicare ID - Type Unspecified