Organization
JAY COUNTY AUDITOR POLICE DEPT
Active
Other names
Jay County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY WHETZEL M.D. (JAY COUNTY HEALTH OFFICER)
(260) 726-8080
Entity
Organization
Contact information
Practice address
504 W ARCH ST, PORTLAND, IN 47371-1317
(260) 726-8080
(260) 726-2220
Mailing address
504 W ARCH ST, PORTLAND, IN 47371-1317
(260) 726-8080
(260) 726-2220
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D0674900
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS, CERTIFICATE OF WAIVER
IN
Enumeration date
11/01/2010
Last updated
04/10/2014
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