Organization
LICKING COUNTY
Active
Organization
LICKING COUNTY
Active
Other names
Licking County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. JOSEPH EBEL R.S, M.S, M.B.A (HEALTH COMMISSIONER)
(740) 349-6535
Entity
Organization
Contact information
Practice address
675 PRICE RD NE, NEWARK, OH 43055-9454
(740) 349-6535
(740) 349-6510
Mailing address
675 PRICE RD NE, NEWARK, OH 43055-9454
(740) 349-6535
(740) 349-6935
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
35-04-2030-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291670
—
OH
01
—
600001195
RAILROAD MEDICARE
OH
01
—
FV90771
MT.CARMEL HEALTH-MEDIGOLD
OH
Enumeration date
03/08/2006
Last updated
01/23/2012
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