Organization
GRANT COUNTY AUDITOR
Active
Other names
Grant County Health Dept/Nursing Division, Grant County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID MOORE M. D. (GRANT COUNTY HEALTH OFFICER)
(765) 662-0377
Entity
Organization
Contact information
Practice address
401 S ADAMS ST, NURSING DIVISION, MARION, IN 46953-2037
(765) 662-0377
(765) 662-9028
Mailing address
401 S ADAMS ST, NURSING DIVISION, MARION, IN 46953-2037
(765) 662-0377
(765) 662-9028
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA0060
MEDICARE PART B
IN
01
—
TA0060
MEDICARE PTAN #
—
Enumeration date
01/10/2007
Last updated
02/23/2022
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