Provider Demographics
NPI:1831234962
Name:GREENE COUNTY
Entity type:Organization
Organization Name:GREENE COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS,MBA,MPH,RN,RS
Authorized Official - Phone:937-374-5630
Mailing Address - Street 1:360 WILSON DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-1810
Mailing Address - Country:US
Mailing Address - Phone:937-374-5600
Mailing Address - Fax:937-374-5675
Practice Address - Street 1:360 WILSON DR
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-1810
Practice Address - Country:US
Practice Address - Phone:937-374-5600
Practice Address - Fax:937-374-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261Q00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0023090OtherBUREAU FOR CHILDREN
OH098130Medicaid
OH=========027OtherCARESOURCE
OH0023090OtherBUREAU FOR CHILDREN