MEDICARE: HENRY 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	261QP0905X	State or Local Public Health Clinic/Center	01031085A	IN

General Provider Information

NPI Number	:	1972773174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY COUNTY AUDITOR

Provider Business Mailing Address
First Line	:	1201 RACE STREET
Second Line	:	SUITE 208
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-4653
Country	:	US
Telephone Number	:	765-521-7059
Fax Number	:	765-521-7055

Provider Business Practice Location Address
First Line	:	1201 RACE STREET
Second Line	:	SUITE 208
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-4653
Country	:	US
Telephone Number	:	765-521-7059
Fax Number	:	765-521-7055

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANGELA RENEE COX
Credential	:	RN,BSN
Telephone Number	:	765-521-7059

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	03/11/2024

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