Provider Demographics
NPI:1639397979
Name:PREVENTION PARTNERS OF WOOD COUNTY
Entity Type:Organization
Organization Name:PREVENTION PARTNERS OF WOOD COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:BS,OCPSII
Authorized Official - Phone:419-874-4242
Mailing Address - Street 1:13415 ECKEL JUNCTION RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1320
Mailing Address - Country:US
Mailing Address - Phone:419-874-4242
Mailing Address - Fax:419-874-4775
Practice Address - Street 1:13415 ECKEL JUNCTION RD
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1320
Practice Address - Country:US
Practice Address - Phone:419-874-4242
Practice Address - Fax:419-874-4775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty