Organization Active NPI

Paulding County

  • Public Health or Welfare Agency
  • Paulding, OH
National Provider Identifier
1720056575
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PAULDING COUNTY
Practice address
800 East Perry Street
Paulding, OH 45879-1403
Phone
(419) 399-3921
Fax
(419) 399-3494
NPI assigned
Mar 9, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dr. Larry B. Fishbaugh, D.O.
Title
Health Commissioner
Phone
(419) 399-3921

Specialties & licenses 1

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

Addresses

Primary practice location

800 East Perry Street
Paulding, OH 45879-1403

Mailing address

800 E Perry Street
Paulding, OH 45879-1403
Phone (419) 399-3921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070302000051 OH Part B Supplier - Mass Immunization (Roster Biller Only) 9638271133 Practice locations: Paulding, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0859346Paulding County Health Department800 East Perry Street, Paulding, OH 45879Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Paulding County3 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

800 E Perry St
Paulding, OH 45879
Phone (419) 399-3921

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
Paulding County HospitalPaulding, OH, CCN 36Z300 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 4, 2014

Owned or controlled facilities with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1720056575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E PERRY STREET",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791403",
            "telephone_number": "419-399-3921",
            "fax_number": "419-399-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST PERRY STREET",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791403",
            "telephone_number": "419-399-3921",
            "fax_number": "419-399-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULDING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "FISHBAUGH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "419-399-3921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paulding, OH

Sources for this page

Verify at the official NPI Registry.