Provider Demographics
NPI:1780731059
Name:JEFFERSON COUNTY AUDITOR
Entity type:Organization
Organization Name:JEFFERSON COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-273-1942
Mailing Address - Street 1:715 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-2143
Mailing Address - Country:US
Mailing Address - Phone:812-273-1942
Mailing Address - Fax:812-273-1955
Practice Address - Street 1:715 GREEN RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-2143
Practice Address - Country:US
Practice Address - Phone:812-273-1942
Practice Address - Fax:812-273-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100272300Medicaid
IN100272300Medicaid