Provider Demographics
NPI:1245523927
Name:NEWTON COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:NEWTON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:WARNE
Authorized Official - Last Name:DURHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-285-2052
Mailing Address - Street 1:4117 S 240 W STE 500
Mailing Address - Street 2:
Mailing Address - City:MOROCCO
Mailing Address - State:IN
Mailing Address - Zip Code:47963-8199
Mailing Address - Country:US
Mailing Address - Phone:219-285-2052
Mailing Address - Fax:219-285-0646
Practice Address - Street 1:4117 S 240 W STE 500
Practice Address - Street 2:
Practice Address - City:MOROCCO
Practice Address - State:IN
Practice Address - Zip Code:47963-8199
Practice Address - Country:US
Practice Address - Phone:219-285-2052
Practice Address - Fax:219-285-0646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty