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BOONE COUNTY AUDITOR

Ambulatory Health Care Facilities Clinic/Center Public Health, State or Local

Provider NPI: 1184748485

Organization Information:
Organization Name:  BOONE COUNTY AUDITOR
Organization is not Subpart
Authorized Official:  HERSCHELL  SERVIES  HEALTH OFFICER  765-482-3942

Practice Location:
116 W WASHINGTON ST STE B202  LEBANON, IN 46052-2174 US
Tel: 765-482-3942  Fax: 765-483-4450

Business Mailing Address:
116 W WASHINGTON ST STE B202  LEBANON, IN 46052-2174 US
Tel: 765-482-3942  Fax: 765-483-4450

NPI Information:
NPI: 1184748485
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP0905XAmbulatory Health Care Facilities
Clinic/Center
Public Health, State or Local
IN0102636A

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QP0905X

Type:

Classification:



Definition:



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