Healthcare Provider Details

I. General information

NPI: 1841506615
Provider Name (Legal Business Name): MANSFIELD-ONTARIO-RICHLAND COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 08/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 LEXINGTON AVE
MANSFIELD OH
44907-1502
US

IV. Provider business mailing address

555 LEXINGTON AVE
MANSFIELD OH
44907-1502
US

V. Phone/Fax

Practice location:
  • Phone: 419-774-4548
  • Fax: 419-774-4590
Mailing address:
  • Phone: 419-774-4548
  • Fax: 419-774-4590

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: MR. STAN SAALMAN
Title or Position: HEALTH COMMISSIONER
Credential: MESPH-JD-RS
Phone: 419-774-4510