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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