Organization
COUNTY OF PUTNAM OFFICE OF AUDITOR
Active
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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