MEDICARE: MORGAN COUNTY

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	343900000X	Non-emergency Medical Transport (VAN)
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1811692015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN COUNTY

Provider Business Mailing Address
First Line	:	10 W MAIN ST
Second Line	:
City	:	MCCONNELSVILLE
State	:	OH
Zip	:	43756-1215
Country	:	US
Telephone Number	:	740-962-5600
Fax Number	:	740-962-5600

Provider Business Practice Location Address
First Line	:	10 W MAIN ST
Second Line	:
City	:	MCCONNELSVILLE
State	:	OH
Zip	:	43756-1215
Country	:	US
Telephone Number	:	740-962-5600
Fax Number	:	740-962-5600

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SHELBY LYNN WAHL
Credential	:
Telephone Number	:	740-962-5600

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	04/05/2023

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Directions to “MORGAN COUNTY ” Practice Location

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