Provider Demographics
NPI:1750712782
Name:WOOD COUNTY AUDITOR
Entity type:Organization
Organization Name:WOOD COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIVIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-352-8402
Mailing Address - Street 1:1840 E GYPSY LANE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-9173
Mailing Address - Country:US
Mailing Address - Phone:419-352-8402
Mailing Address - Fax:419-354-2169
Practice Address - Street 1:1840 E GYPSY LANE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-9173
Practice Address - Country:US
Practice Address - Phone:419-352-8402
Practice Address - Fax:419-354-2169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0109234Medicaid
OH361052Medicare UPIN