Provider Demographics
NPI:1609864131
Name:WYANDOT COUNTY OFFICE OF AUDITOR
Entity type:Organization
Organization Name:WYANDOT COUNTY OFFICE OF AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDITOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:KITZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-294-1714
Mailing Address - Street 1:7830 STATE HIGHWAY 199
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351-9333
Mailing Address - Country:US
Mailing Address - Phone:419-294-1714
Mailing Address - Fax:419-294-2532
Practice Address - Street 1:7830 STATE HIGHWAY 199
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-9333
Practice Address - Country:US
Practice Address - Phone:419-294-1714
Practice Address - Fax:419-294-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0325624Medicaid
OH366269Medicare ID - Type Unspecified