Provider Demographics
NPI:1700157492
Name:ERIE COUNTY OFFICE OF AUDITOR
Entity Type:Organization
Organization Name:ERIE COUNTY OFFICE OF AUDITOR
Other - Org Name:ERIE COUNTY GENERAL HEALTH DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:PALMUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-626-5623
Mailing Address - Street 1:420 SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-1849
Mailing Address - Country:US
Mailing Address - Phone:419-626-5623
Mailing Address - Fax:419-626-8778
Practice Address - Street 1:420 SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-1849
Practice Address - Country:US
Practice Address - Phone:419-626-5623
Practice Address - Fax:419-626-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2023-07-26
Deactivation Date:2014-02-11
Deactivation Code:
Reactivation Date:2014-02-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0051809Medicaid
OH361972OtherMEDICARE CMS CERTIFICATION NUMBER