NPI:
1356368104
Provider Name:
FAYETTE COUNTY GOVERNMENT
Other Name: FAYETTE COUNTY HEALTH DEPARTMENT
Classification:
Clinic/Center - 261QP0905X
Entity Type:
Organization
Specialization: Public Health, State or Local
CLIA Number: 15D0680386
Address:
401 CENTRAL AVE
CONNERSVILLE, IN
ZIP 47331
Phone:
(765) 825-4013
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FAYETTE COUNTY GOVERNMENT is a public health and state or local clinic center in Connersville, IN. FAYETTE COUNTY GOVERNMENT NPI is 1356368104. The provider is registered as an organization entity type.
The provider Other Name Is Fayette County Health Department.
The provider's business location address is:
401 CENTRAL AVE
CONNERSVILLE, IN
ZIP 47331
Phone: (765) 825-4013
Fax: (765) 825-7189
The provider's authorized official is Wayne B White .
The authorized official title is Fayette County Health Officer and has the following contact phone number (765) 825-0511.
The CLIA number assigned to this NPI record is 15D0680386 - other - public health department with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/19/2015.