Organization Name: | HAMILTON COUNTY WIC PROGRAM |
NPI Number: | 1023222031 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN H. CLOTHIER (CEO) |
Mailing Address: | Hamilton County Wic Program 942 North Tenth Street Noblesville |
State: | IN US |
Postal Code: | 46060 |
Phone Number: | 3177763445 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |