NPIMap

Organization Active NPI

Wyandot County Office of Auditor

Doing business as Wyandot County Health Department

  • Public Health or Welfare Agency
  • Upper Sandusky, OH
National Provider Identifier
1003805755
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WYANDOT COUNTY OFFICE OF AUDITOR
Doing business as
Wyandot County Health Department
Practice address
127 S Sandusky Ave
Room a
Upper Sandusky, OH 43351-1451
Phone
(419) 294-3852
Fax
(419) 294-6435
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keri S Harris, MD
Title
Wyandot County Health Commissioner
Phone
(419) 294-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

127 S Sandusky Ave
Room a
Upper Sandusky, OH 43351-1451

Mailing address

127 S Sandusky Ave RM a
Upper Sandusky, OH 43351-1451
Phone (419) 294-3852

Other identifiers 1

IdentifierTypeStateIssuer
0547135MedicaidOH

Other names 1

  • Wyandot County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120607000433 OH Part B Supplier - Public Health/Welfare Agency 9830008986 Practice locations: Upper Sandusky, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wyandot County Board of DD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

127 S Sandusky Ave
Rm A
Upper Sandusky, OH 43351
Phone (419) 294-3852

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wyandot County Skilled Nursing & Rehabilitation CenterUpper Sandusky, OH, CCN 366269 Skilled nursing facility Indirect Ownership Interest Mar 14, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1003805755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S SANDUSKY AVE RM A",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511451",
            "telephone_number": "419-294-3852",
            "fax_number": "419-294-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SANDUSKY AVE",
            "address_2": "ROOM A",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511451",
            "telephone_number": "419-294-3852",
            "fax_number": "419-294-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOT COUNTY OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "WYANDOT COUNTY HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "419-294-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0547135",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyandot County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.