Provider Demographics
NPI:1780058529
Name:CLINTON COUNTY HEALTH DEPT
Entity type:Organization
Organization Name:CLINTON COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINTON COUNTY HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:765-659-6385
Mailing Address - Street 1:400 E CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-2005
Mailing Address - Country:US
Mailing Address - Phone:765-659-6385
Mailing Address - Fax:765-659-6387
Practice Address - Street 1:400 E CLINTON ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2005
Practice Address - Country:US
Practice Address - Phone:765-659-6385
Practice Address - Fax:765-659-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251L00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare