Healthcare Provider Details

I. General information

NPI: 1215228101
Provider Name (Legal Business Name): WASHINGTON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 MARTINSBURG RD SUITE 100
SALEM IN
47167-5906
US

IV. Provider business mailing address

806 MARTINSBURG RD SUITE 100
SALEM IN
47167-5906
US

V. Phone/Fax

Practice location:
  • Phone: 812-883-5603
  • Fax: 812-883-5017
Mailing address:
  • Phone: 812-883-5603
  • Fax: 812-883-5017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY MORGAN
Title or Position: HEALTH OFFICER
Credential:
Phone: 812-883-2696