# FOUNTAIN COUNTY AUDITOR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOUNTAIN COUNTY
- **Other names:** Fountain Warren County Health Department
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457816613
- **Legal business name:** FOUNTAIN COUNTY
- **Authorized official:** MELISSA DISMORE (ASSISTANT RN/ HEALTH EDUCATOR)
- **Authorized official phone:** (765) 762-3035

## Contact information

- **Practice address:** 113 W SYCAMORE ST, ATTICA, IN 47918-1832
- **Practice address phone:** (765) 762-3035
- **Practice address fax:** (765) 762-6520
- **Mailing address:** 113 W SYCAMORE ST, ATTICA, IN 47918-1832
- **Mailing address phone:** (765) 762-3035
- **Mailing address fax:** (765) 762-6520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2019
- **Last updated:** 02/01/2019
