Provider Demographics
NPI:1841258613
Name:COUNTY OF LOGAN OFFICE OF AUDITOR
Entity type:Organization
Organization Name:COUNTY OF LOGAN OFFICE OF AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-592-9040
Mailing Address - Street 1:310 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-1720
Mailing Address - Country:US
Mailing Address - Phone:937-592-9040
Mailing Address - Fax:937-592-4012
Practice Address - Street 1:310 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-1720
Practice Address - Country:US
Practice Address - Phone:937-592-9040
Practice Address - Fax:937-592-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH367019Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER