Provider Demographics
NPI:1184840076
Name:HOCKING COUNTY BOARD OF DD
Entity type:Organization
Organization Name:HOCKING COUNTY BOARD OF DD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-385-6805
Mailing Address - Street 1:1369 E FRONT ST
Mailing Address - Street 2:PO BOX 387
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-9031
Mailing Address - Country:US
Mailing Address - Phone:740-385-6805
Mailing Address - Fax:740-385-5594
Practice Address - Street 1:1369 E FRONT ST
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-9031
Practice Address - Country:US
Practice Address - Phone:740-385-6805
Practice Address - Fax:740-385-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)