Healthcare Provider Details

I. General information

NPI: 1821167198
Provider Name (Legal Business Name): ERIE COUNTY OFFICE OF AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date: 02/21/2014
Reactivation Date: 05/21/2025

III. Provider practice location address

420 SUPERIOR ST
SANDUSKY OH
44870-1849
US

IV. Provider business mailing address

420 SUPERIOR ST
SANDUSKY OH
44870-1815
US

V. Phone/Fax

Practice location:
  • Phone: 419-626-5623
  • Fax: 419-626-8778
Mailing address:
  • Phone: 419-626-5623
  • Fax: 419-626-8778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MELISSA ANN KELLER
Title or Position: CFO
Credential:
Phone: 419-626-5623