NPIMap

Organization Active NPI

Erie County Office of Auditor

  • Federally Qualified Health Center (FQHC)
  • Port Clinton, OH
National Provider Identifier
1407480593
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ERIE COUNTY OFFICE OF AUDITOR
Practice address
333 Buckeye Blvd Ste B
Port Clinton, OH 43452-2475
Phone
(419) 626-5623
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Joseph Palmucci
Title
Ceo/Cfo
Phone
(419) 626-5623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

333 Buckeye Blvd Ste B
Port Clinton, OH 43452-2475

Mailing address

420 Superior St
Sandusky, OH 44870-1849
Phone (419) 626-5623

Other names 1

  • ERIE COUNTY GENERAL 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
O20201118001807 OH Part A Provider - Federally Qualified Health Center (FQHC) 7911050711 Practice locations: Port Clinton, OH

Federally qualified health center certification: CCN 721867

Legal name
ERIE COUNTY OFFICE OF AUDITOR
Doing business as
ERIE COUNTY GENERAL HEALTH DISTRICT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 18, 2020
Last certification
Nov 18, 2020
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
333 Buckeye Blvd
Ste B
Port Clinton, OH 43452-2475

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Erie County Gen HLTH Di24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erie County Office of Auditor Organization, Sandusky, OH Non-profit 5% Or Greater Direct Ownership Interest Nov 4, 2020 100%
Peter T Schade Individual Corporate OfficerHealth Commissioner Nov 4, 2020 50%
W-2 Managing EmployeeHealth Comissioner Nov 4, 2020 50%
Melissa a Keller Individual Corporate OfficerCfo Feb 1, 2025 50%
W-2 Managing EmployeeCfo Nov 4, 2020 50%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
The Meadows at Osborn ParkHuron, OH, CCN 366072 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 4, 1976
Erie County General Health DistrictSandusky, OH, CCN 361972 Federally qualified health center Operational/Managerial Control Mar 25, 2011
Erie County General Health DistrictSandusky, OH, CCN 721820 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2011
Erie County General Health DistrictMilan, OH, CCN 721825 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2011
Erie County General Health DistrictVermilion, OH, CCN 721870 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2011
Erie County General Health DistrictNorwalk, OH, CCN 721882 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2011
Erie County General Health DistrictKelleys Island, OH, CCN 721031 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2011

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1407480593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BUCKEYE BLVD STE B",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522475",
            "telephone_number": "419-626-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE COUNTY OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "PALMUCCI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "419-626-5623"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIE COUNTY GENERAL HEALTH DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Clinton, OH

Sources for this page

Verify at the official NPI Registry.