Organization
CLARK COUNTY AUDITOR
Active
Other names
Clark County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JOHN BENTFIELD III (ADMINISTRATOR)
(812) 282-7521
Entity
Organization
Contact information
Practice address
1201 WALL STREET, JEFFERSONVILLE, IN 47130-3887
(812) 282-7521
(812) 288-2711
Mailing address
1201 WALL STREET, JEFFERSONVILLE, IN 47130-3887
(812) 282-7521
(812) 288-2711
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074760
—
IN
05
—
300032061
—
IN
Enumeration date
12/12/2006
Last updated
11/04/2024
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