# COUNTY OF CLINTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477688380
- **Authorized official:** DR. TERRY K HOLTEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (937) 382-7221

## Contact information

- **Practice address:** 111 S NELSON AVE STE 1, WILMINGTON, OH 45177-2067
- **Practice address phone:** (937) 382-7221
- **Practice address fax:** (937) 382-7027
- **Mailing address:** 111 S NELSON AVE STE 1, WILMINGTON, OH 45177-2067
- **Mailing address phone:** (937) 382-7221
- **Mailing address fax:** (937) 382-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | OH | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 07/21/2022