Healthcare Provider Details

I. General information

NPI: 1881681054
Provider Name (Legal Business Name): ERIE COUNTY OFFICE OF AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 09/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 PERKINS AVE
HURON OH
44839-1059
US

IV. Provider business mailing address

3916 PERKINS AVE
HURON OH
44839-1059
US

V. Phone/Fax

Practice location:
  • Phone: 419-627-8733
  • Fax: 419-627-1614
Mailing address:
  • Phone: 419-627-8733
  • Fax: 419-627-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateOH

VIII. Authorized Official

Name: DONNA PATRICK
Title or Position: ASST ADMINISTRATOR/DON
Credential: RN
Phone: 419-627-8733