Provider Demographics
NPI:1972947299
Name:MORGAN COUNTY AUDITOR
Entity Type:Organization
Organization Name:MORGAN COUNTY AUDITOR
Other - Org Name:MORGAN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BRODERICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:765-342-6621
Mailing Address - Street 1:180 S MAIN ST
Mailing Address - Street 2:252
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-1976
Mailing Address - Country:US
Mailing Address - Phone:765-342-6621
Mailing Address - Fax:765-342-1062
Practice Address - Street 1:180 S MAIN ST
Practice Address - Street 2:SUITE 252
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1976
Practice Address - Country:US
Practice Address - Phone:765-342-6621
Practice Address - Fax:765-342-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare