Organization Name: | RANDOLPH COUNTY HEALTH DEPARTMENT |
NPI Number: | 1659516458 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIDGET J REIDY (RN/PUBLIC HEALTH NURSE) |
Mailing Address: | 325 S Oak St Ste 202 Winchester |
State: | IN US |
Postal Code: | 473942247 |
Phone Number: | 7655841155 |
Fax Number: | 7655849059 |
NPI Enumeration Date: | 12/08/2008 |
NPI Last Update Date: | 12/08/2008 |
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: |