Provider Demographics
NPI:1972773174
Name:HENRY COUNTY AUDITOR
Entity type:Organization
Organization Name:HENRY COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:765-521-7059
Mailing Address - Street 1:1201 RACE STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-4653
Mailing Address - Country:US
Mailing Address - Phone:765-521-7059
Mailing Address - Fax:765-521-7055
Practice Address - Street 1:1201 RACE STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-4653
Practice Address - Country:US
Practice Address - Phone:765-521-7059
Practice Address - Fax:765-521-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031085A261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
227420Medicare PIN