Provider Demographics
NPI:1770581266
Name:GREENE COUNTY AUDITOR
Entity type:Organization
Organization Name:GREENE COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-384-3176
Mailing Address - Street 1:217 E SPRING ST
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:BLOOMFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:47424-1589
Mailing Address - Country:US
Mailing Address - Phone:812-384-2057
Mailing Address - Fax:812-384-2058
Practice Address - Street 1:217 E SPRING ST
Practice Address - Street 2:SUITE # 5
Practice Address - City:BLOOMFIELD
Practice Address - State:IN
Practice Address - Zip Code:47424-1589
Practice Address - Country:US
Practice Address - Phone:812-384-2057
Practice Address - Fax:812-384-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN00423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100281610Medicaid
IN000000186277OtherANTHEM PROVIDER NUMBER
IN978350Medicare PIN