Provider Demographics
NPI:1699778902
Name:SWITZERLAND COUNTY AUDITOR'S OFFICE
Entity type:Organization
Organization Name:SWITZERLAND COUNTY AUDITOR'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FILLENWARTH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,BC
Authorized Official - Phone:812-427-4038
Mailing Address - Street 1:1190 W MAIN ST
Mailing Address - Street 2:STE 300
Mailing Address - City:VEVAY
Mailing Address - State:IN
Mailing Address - Zip Code:47043-3639
Mailing Address - Country:US
Mailing Address - Phone:812-427-4038
Mailing Address - Fax:812-427-3246
Practice Address - Street 1:1190 W MAIN ST
Practice Address - Street 2:STE 300
Practice Address - City:VEVAY
Practice Address - State:IN
Practice Address - Zip Code:47043-3639
Practice Address - Country:US
Practice Address - Phone:812-427-4038
Practice Address - Fax:812-427-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200254390AMedicaid
IN153862Medicare Oscar/Certification