RANDOLPH COUNTY HEALTH DEPARTMENT NPI 1659516458

NPI Information

NPI: 1659516458
Provider Name: RANDOLPH COUNTY HEALTH DEPARTMENT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 15D0674412

Address:
325 S OAK ST STE 202
WINCHESTER, IN
ZIP 47394
Phone: (765) 584-1155
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RANDOLPH COUNTY HEALTH DEPARTMENT is a public health or welfare in Winchester, IN. RANDOLPH COUNTY HEALTH DEPARTMENT NPI is 1659516458. The provider is registered as an organization entity type.

The provider's business location address is:

325 S OAK ST STE 202
WINCHESTER, IN
ZIP 47394-247
Phone: (765) 584-1155
Fax: (765) 584-9059

The provider's authorized official is Bridget J Reidy .
The authorized official title is Rn/public Health Nurse and has the following contact phone number (765) 584-1155.

The CLIA number assigned to this NPI record is 15D0674412 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2008 and was last updated on 12/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TA4050	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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