Provider Demographics
NPI:1821219924
Name:VERMILLION COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:VERMILLION COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:BRIDWELL
Authorized Official - Last Name:REELY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:765-832-3622
Mailing Address - Street 1:4451 E. OLD FT. HARRISON RD.
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47805
Mailing Address - Country:US
Mailing Address - Phone:812-541-9578
Mailing Address - Fax:
Practice Address - Street 1:825 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IN
Practice Address - Zip Code:47842-2261
Practice Address - Country:US
Practice Address - Phone:765-832-3622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare