=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972971802
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERCER COUNTY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2015
-----------------------------------------------------
Last Update Date | 09/09/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 W LIVINGSTON ST B152
-----------------------------------------------------
City | CELINA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45822-1670
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-586-3251
-----------------------------------------------------
Fax | 419-586-2583
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 W LIVINGSTON ST B152
-----------------------------------------------------
City | CELINA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45822-1670
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-586-3251
-----------------------------------------------------
Fax | 419-586-2583
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HEALTH COMMISSIONER
-----------------------------------------------------
Name | AMY LITTIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-586-3251
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number | CL.020262350-02
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------