Provider Demographics
NPI:1871598284
Name:HENRY COUNTY AUDITORS OFFICE
Entity type:Organization
Organization Name:HENRY COUNTY AUDITORS OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GOON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD
Authorized Official - Phone:419-599-5545
Mailing Address - Street 1:1843 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9243
Mailing Address - Country:US
Mailing Address - Phone:419-599-5545
Mailing Address - Fax:419-592-6400
Practice Address - Street 1:1843 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9243
Practice Address - Country:US
Practice Address - Phone:419-599-5545
Practice Address - Fax:419-592-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0562458Medicaid
OHFV90291Medicare ID - Type Unspecified