Provider Demographics
NPI:1982027702
Name:PUTNAM COUNTY AUDITOR
Entity Type:Organization
Organization Name:PUTNAM COUNTY AUDITOR
Other - Org Name:PUTNAM COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-658-2782
Mailing Address - Street 1:P.O. BOX 507
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135
Mailing Address - Country:US
Mailing Address - Phone:765-658-2782
Mailing Address - Fax:765-658-2781
Practice Address - Street 1:1542 S. BLOOMINGTON STREET
Practice Address - Street 2:SUITE 1500
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135
Practice Address - Country:US
Practice Address - Phone:765-658-2782
Practice Address - Fax:765-658-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027777251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare