| Organization Name: | SPENCER COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1053743906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STANLEY TRETTER (HEALTH OFFICER) |
| Mailing Address: | 200 Main St Rm 1 Rockport |
| State: | IN US |
| Postal Code: | 476351492 |
| Phone Number: | 8126494441 |
| Fax Number: | 8126496047 |
| NPI Enumeration Date: | 08/02/2013 |
| NPI Last Update Date: | 08/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | 28099969A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |