MEDICARE: HENRY COUNTY AUDITORS OFFICE

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	251K00000X	Public Health or Welfare Agency

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

General Provider Information

NPI Number	:	1871598284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY COUNTY AUDITORS OFFICE

Provider Business Mailing Address
First Line	:	1843 OAKWOOD AVE
Second Line	:
City	:	NAPOLEON
State	:	OH
Zip	:	43545-9243
Country	:	US
Telephone Number	:	419-599-5545
Fax Number	:	419-592-6400

Provider Business Practice Location Address
First Line	:	1843 OAKWOOD AVE
Second Line	:
City	:	NAPOLEON
State	:	OH
Zip	:	43545-9243
Country	:	US
Telephone Number	:	419-599-5545
Fax Number	:	419-592-6400

Authorized Official
Title or Position	:	HEALTH COMMISSIONER
Name	:	ANNE F. GOON
Credential	:	MS, RD, LD
Telephone Number	:	419-599-5545

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	11/05/2013

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