Healthcare Provider Details

I. General information

NPI: 1790775401
Provider Name (Legal Business Name): MORGAN COUNTY AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 E MORGAN ST
MARTINSVILLE IN
46151-1848
US

IV. Provider business mailing address

PO BOX 502250
INDIANAPOLIS IN
46250-7250
US

V. Phone/Fax

Practice location:
  • Phone: 765-342-8467
  • Fax: 765-349-9736
Mailing address:
  • Phone: 317-849-6628
  • Fax: 317-849-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0237
License Number StateIN

VIII. Authorized Official

Name: MR. BRENT WORTH
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 317-775-6753