Provider Demographics
NPI:1255353967
Name:GIBSON COUNTY AUDITOR
Entity type:Organization
Organization Name:GIBSON COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-385-8967
Mailing Address - Street 1:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-0623
Mailing Address - Country:US
Mailing Address - Phone:812-385-8967
Mailing Address - Fax:812-386-5127
Practice Address - Street 1:306 N PRINCE ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-1818
Practice Address - Country:US
Practice Address - Phone:812-385-8967
Practice Address - Fax:812-386-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0082341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000184709OtherBC
0472778OtherTHE FUNDS
590568122OtherRRMC
IN100281870AMedicaid
=========001Medicare UPIN
979020Medicare ID - Type Unspecified