MEDICARE: STEUBEN COUNTY AUDITOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	0287	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590164357	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000184580	OTHER	IN	PIN FOR BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356348601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEUBEN COUNTY AUDITOR

Provider Business Mailing Address
First Line	:	PO BOX 2122
Second Line	:
City	:	RIVERVIEW
State	:	MI
Zip	:	48193-1122
Country	:	US
Telephone Number	:	800-926-6985
Fax Number	:	734-479-6319

Provider Business Practice Location Address
First Line	:	205 S MARTHA ST STE 100
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-1900
Country	:	US
Telephone Number	:	260-668-1000
Fax Number	:	260-665-8368

Authorized Official
Title or Position	:	INTERIM DIRECTOR
Name	:	JAYSON W MCCONNELL
Credential	:
Telephone Number	:	260-668-1000

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/02/2023

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Directions to “STEUBEN COUNTY AUDITOR ” Practice Location

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