Organization Active NPI

County of Logan Office of Auditor

  • Public Health or Welfare Agency
  • Bellefontaine, OH
National Provider Identifier
1245454966
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF LOGAN OFFICE OF AUDITOR
Practice address
310 S Main St
Bellefontaine, OH 43311-1720
Phone
(937) 592-9040
Fax
(937) 592-6746
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Dr. Nicholas A Morton, M.D.NPI 1588976492
Title
Medical Director
Phone
(937) 592-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

310 S Main St
Bellefontaine, OH 43311-1720

Mailing address

310 S Main St
Bellefontaine, OH 43311-1720
Phone (937) 592-9040

Other identifiers 1

IdentifierTypeStateIssuer
0269043MedicaidOH

Other names 1

  • Logan County Health District Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130523000735 OH Part B Supplier - Mass Immunization (Roster Biller Only) 6901814128 Practice locations: Bellefontaine, OH

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
County of Logan Office of Auditor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

310 S Main St
Bellefontaine, OH 43311
Phone (937) 592-9040

310 S Main St
Ste A
Bellefontaine, OH 43311

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
Logan Acres Care CenterBellefontaine, OH, CCN 365768 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 1966
Jul 21, 1989
Jul 21, 1989

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1245454966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111720",
            "telephone_number": "937-592-9040",
            "fax_number": "937-592-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111720",
            "telephone_number": "937-592-9040",
            "fax_number": "937-592-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-592-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan County Health District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Logan County Health District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.