Provider Demographics
NPI:1104964865
Name:MIAMI COUNTY
Entity type:Organization
Organization Name:MIAMI COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:PROPES
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, RS
Authorized Official - Phone:937-573-3500
Mailing Address - Street 1:510 WEST WATER ST STE 130
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2985
Mailing Address - Country:US
Mailing Address - Phone:937-440-5418
Mailing Address - Fax:937-440-8106
Practice Address - Street 1:510 W WATER ST STE 130
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2982
Practice Address - Country:US
Practice Address - Phone:937-440-5418
Practice Address - Fax:937-440-8106
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIAMI COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-02
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHFV90731Medicare PIN