Provider Demographics
NPI:1487787735
Name:NEWARK CITY HEALTH DEPARTMEN
Entity type:Organization
Organization Name:NEWARK CITY HEALTH DEPARTMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH DEPARTMENT
Authorized Official - Phone:740-349-6684
Mailing Address - Street 1:675 PRICE RD NE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9506
Mailing Address - Country:US
Mailing Address - Phone:740-349-6684
Mailing Address - Fax:
Practice Address - Street 1:675 PRICE RD NE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9506
Practice Address - Country:US
Practice Address - Phone:740-349-6684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0048844Medicaid
OH367024Medicare ID - Type Unspecified