Provider Demographics
NPI:1821070962
Name:COUNTY OF ASHLAND AUDITOR
Entity Type:Organization
Organization Name:COUNTY OF ASHLAND AUDITOR
Other - Org Name:COUNTY & CITY OF ASHLAND HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWILL-HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, CPH, RS
Authorized Official - Phone:419-282-4226
Mailing Address - Street 1:1763 STATE ROUTE 60
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-8707
Mailing Address - Country:US
Mailing Address - Phone:419-282-4226
Mailing Address - Fax:419-282-4271
Practice Address - Street 1:1763 STATE ROUTE 60
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8707
Practice Address - Country:US
Practice Address - Phone:419-282-4226
Practice Address - Fax:419-282-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251K00000X, 261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0519326Medicaid
OH0519326Medicaid
CNFV91111Medicare PIN
OHFV91111Medicare PIN