Organization
COUNTY OF PUTNAM OFFICE OF AUDITOR
Active
Other names
Putnam County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTA EICKHOLT MD (MEDICAL DIRECTOR)
(419) 523-5608
Entity
Organization
Contact information
Practice address
256 WILLIAMSTOWN ROAD, OTTAWA, OH 45875
(419) 523-5608
(419) 523-4171
Mailing address
256 WILLIAMSTOWN RD, OTTAWA, OH 45875
(419) 523-5608
(419) 523-4171
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
020257450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146925
—
OH
Enumeration date
06/26/2006
Last updated
11/18/2019
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