County of Hocking

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

35068864 Issued in OH

Legal business name

COUNTY OF HOCKING

Doing business as

Hocking County Health Department

Practice address

350 State Route 664 N
Logan, OH 43138-8931

Phone

(740) 385-3030

Fax

(740) 385-2252

NPI assigned

Apr 9, 2007

Last updated

Jan 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Fisher

Title

Health Commissioner

Phone

(740) 385-3030

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hocking County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Hocking

  dba Hocking County EMS

  • Land Ambulance
  • Logan, OH
  • NPI 1245346493

  9335048230

  Same PAC ID

Tax ID family

County of Hocking3 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.

• County of Hocking

  dba Hocking County EMS

  • Land Ambulance
  • Logan, OH
  • NPI 1245346493
  NPD tax ID
• Hocking County Board of DD

  • Non-emergency Medical Transport (VAN)
  • Logan, OH
  • NPI 1184840076
  NPD tax ID

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Hocking Valley Community Hospital

  • Critical Access Hospital
  • Logan, OH
  • NPI 1295840007

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Jo Elliott, MSN, CPNP, CHEP

  • Pediatric Registered Nurse
  • Logan, OH
  • NPI 1275107468
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1326161050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388931",
            "telephone_number": "740-385-3030",
            "fax_number": "740-385-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388931",
            "telephone_number": "740-385-3030",
            "fax_number": "740-385-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HOCKING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "740-385-3030"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "35033609",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "35068864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hocking County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hocking County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Kay Conrad, RN
• Kara Copestick, QMHS
• Shannon Lynn Copley
• Lauren Coulardot
• County of Hocking (Hocking County EMS)
• Jacob M Craig, COTA/L
• Amber Cramer, LPN
• Shaun Crisp, COTA/L BS
• Scott J Cryder, PA-C
• Lisa Ann Cullison, APRN, PMHNP-BC

• Public Health or Welfare Agency in Logan, OH
• Providers in Logan, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.