Healthcare Provider Details

I. General information

NPI: 1699892927
Provider Name (Legal Business Name): MUSKINGUM COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N 7TH STREET
ZANESVILLE OH
43701
US

IV. Provider business mailing address

205 N 7TH STREET
ZANESVILLE OH
43701
US

V. Phone/Fax

Practice location:
  • Phone: 740-454-9741
  • Fax: 740-452-5107
Mailing address:
  • Phone: 740-454-9741
  • Fax: 740-452-5107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number35033750
License Number StateOH

VIII. Authorized Official

Name: MRS. COREY Y HAMILTON
Title or Position: HEALTH COMMISSIONER
Credential: MS RD LD
Phone: 740-454-9741