Basic Information
| Provider Information | |||||||||
| NPI: | 1346203122 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TUSCARAWAS COUNTY AUDITOR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 897 E IRON AVE | ||||||||
| Address2: | |||||||||
| City: | DOVER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446220443 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303435555 | ||||||||
| FaxNumber: | 3303648964 | ||||||||
| Practice Location | |||||||||
| Address1: | 897 E IRON AVE | ||||||||
| Address2: | |||||||||
| City: | DOVER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446222030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303435555 | ||||||||
| FaxNumber: | 3303648964 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2006 | ||||||||
| LastUpdateDate: | 04/09/2015 | ||||||||
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| AuthorizedOfficialLastName: | SEWARD | ||||||||
| AuthorizedOfficialFirstName: | KATIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | HEALTH COMMISSIONER | ||||||||
| AuthorizedOfficialTelephone: | 3303434928 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | MPH, CHES, CTTS | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
ID Information
| ID | Type | State | Issuer | Description | 0425776 | 05 | OH | MEDICAID |