NPI:
1184748485
Provider Name:
BOONE COUNTY AUDITOR
Doing Business As: BOONE COUNTY HEALTH DEPARTMENT
Classification:
Clinic/Center - 261QP0905X
Entity Type:
Organization
Specialization: Public Health, State or Local
CLIA Number: 15D0677340
Address:
116 W WASHINGTON ST STE B202
LEBANON, IN
ZIP 46052
Phone:
(765) 482-3942
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BOONE COUNTY AUDITOR is a public health and state or local clinic center in Lebanon, IN. BOONE COUNTY AUDITOR NPI is 1184748485. The provider is registered as an organization entity type.
The provider Is Doing Business As Boone County Health Department.
The provider's business location address is:
116 W WASHINGTON ST STE B202
LEBANON, IN
ZIP 46052-174
Phone: (765) 482-3942
Fax: (765) 483-4450
The provider's authorized official is Herschell Servies .
The authorized official title is Health Officer and has the following contact phone number (765) 482-3942.
The CLIA number assigned to this NPI record is 15D0677340 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/19/2007 and was last updated on 1/20/2017.