Provider Demographics
NPI:1205170792
Name:PORTER COUNTY AUDITORS OFFICE
Entity type:Organization
Organization Name:PORTER COUNTY AUDITORS OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELLHINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-697-0695
Mailing Address - Street 1:155 INDIANA AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-5502
Mailing Address - Country:US
Mailing Address - Phone:219-465-3350
Mailing Address - Fax:219-465-3806
Practice Address - Street 1:155 INDIANA AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-5502
Practice Address - Country:US
Practice Address - Phone:219-465-3525
Practice Address - Fax:219-465-3531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare