Provider Demographics
NPI:1285770800
Name:COUNTY WIDE HEALTH, INC.
Entity type:Organization
Organization Name:COUNTY WIDE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BILLITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-532-7246
Mailing Address - Street 1:4282 STATE ROUTE 93
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-8358
Mailing Address - Country:US
Mailing Address - Phone:740-532-7246
Mailing Address - Fax:740-532-8410
Practice Address - Street 1:4282 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-8358
Practice Address - Country:US
Practice Address - Phone:740-532-7246
Practice Address - Fax:740-532-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200423803440261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain