# COUNTY OF PUTNAM OFFICE OF AUDITOR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF PUTNAM OFFICE OF AUDITOR
- **Other names:** Putnam County Palliative Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831602119
- **Legal business name:** COUNTY OF PUTNAM OFFICE OF AUDITOR
- **Authorized official:** DR. JACINTA EICKHOLT MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (419) 523-4449

## Contact information

- **Practice address:** 575 OTTAWA GLANDORF RD STE 3, OTTAWA, OH 45875
- **Practice address phone:** (419) 523-4449
- **Practice address fax:** (419) 523-6328
- **Mailing address:** PO BOX 312, OTTAWA, OH 45875-0312
- **Mailing address phone:** (419) 523-4449
- **Mailing address fax:** (419) 523-6328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 12/09/2020