Provider Demographics
NPI:1811386436
Name:MONTGOMERY COUNTY AUDITOR
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY AUDITOR
Other - Org Name:MONTGOMERY COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:HOWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-364-6440
Mailing Address - Street 1:110 W SOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-3351
Mailing Address - Country:US
Mailing Address - Phone:765-364-6440
Mailing Address - Fax:765-361-3239
Practice Address - Street 1:110 W SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-3351
Practice Address - Country:US
Practice Address - Phone:765-364-6440
Practice Address - Fax:765-361-3239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare