Provider Demographics
NPI:1588780696
Name:COUNTY OF FRANKLIN OHIO
Entity type:Organization
Organization Name:COUNTY OF FRANKLIN OHIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TILGNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD, RS
Authorized Official - Phone:614-525-3160
Mailing Address - Street 1:280 EAST BROAD STREET
Mailing Address - Street 2:ROOM 200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215
Mailing Address - Country:US
Mailing Address - Phone:614-525-3938
Mailing Address - Fax:614-525-6672
Practice Address - Street 1:280 EAST BROAD STREET
Practice Address - Street 2:ROOM 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215
Practice Address - Country:US
Practice Address - Phone:614-525-3938
Practice Address - Fax:614-525-6672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0140663Medicaid
OH0140663Medicaid