Provider Demographics
NPI:1952302689
Name:COUNTY OF MORROW
Entity Type:Organization
Organization Name:COUNTY OF MORROW
Other - Org Name:MORROW COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:541-676-5421
Mailing Address - Street 1:120 S MAIN STREET
Mailing Address - Street 2:PO BOX 799
Mailing Address - City:HEPPNER
Mailing Address - State:OR
Mailing Address - Zip Code:97836
Mailing Address - Country:US
Mailing Address - Phone:541-676-5421
Mailing Address - Fax:541-676-5652
Practice Address - Street 1:120 S MAIN STREET
Practice Address - Street 2:
Practice Address - City:HEPPNER
Practice Address - State:OR
Practice Address - Zip Code:97836
Practice Address - Country:US
Practice Address - Phone:541-676-5421
Practice Address - Fax:541-676-5652
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MORROW
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-03
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
C92517Medicare UPIN