Provider Demographics
NPI:1699892927
Name:MUSKINGUM COUNTY
Entity type:Organization
Organization Name:MUSKINGUM COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COREY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LD
Authorized Official - Phone:740-454-9741
Mailing Address - Street 1:205 N 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701
Mailing Address - Country:US
Mailing Address - Phone:740-454-9741
Mailing Address - Fax:740-452-5107
Practice Address - Street 1:205 N 7TH STREET
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-454-9741
Practice Address - Fax:740-452-5107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUSKINGUM COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-23
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35033750251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare