Healthcare Provider Details

I. General information

NPI: 1346232741
Provider Name (Legal Business Name): COUNTY OF OTTAWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 W STATE ROUTE 163
OAK HARBOR OH
43449-8855
US

IV. Provider business mailing address

8180 W STATE ROUTE 163
OAK HARBOR OH
43449-8855
US

V. Phone/Fax

Practice location:
  • Phone: 419-898-2851
  • Fax: 419-898-9501
Mailing address:
  • Phone: 419-898-2851
  • Fax: 419-898-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN COIL
Title or Position: CFO
Credential:
Phone: 567-262-3600