MARSHALL COUNTY INDIANA NPI 1962701185

NPI Information

NPI: 1962701185
Provider Name: MARSHALL COUNTY INDIANA
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 15D2126334

Address:
510 W ADAMS ST STE GL30
PLYMOUTH, IN
ZIP 46563
Phone: (574) 935-8565
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MARSHALL COUNTY INDIANA is a public health or welfare in Plymouth, IN. MARSHALL COUNTY INDIANA NPI is 1962701185. The provider is registered as an organization entity type.

The provider's business location address is:

510 W ADAMS ST STE GL30
PLYMOUTH, IN
ZIP 46563-784
Phone: (574) 935-8565
Fax: (574) 936-9247

The provider's authorized official is Christine M Stinson .
The authorized official title is Administrator Health Department and has the following contact phone number (574) 935-8565.

The CLIA number assigned to this NPI record is 15D2126334 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2011 and was last updated on 7/21/2022.

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	201024050A	MEDICAID	INDIANA

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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