Paulding County
Organization Active NPI Public Health or Welfare Agency · Paulding, OH
NPI 1720056575 · NPPES record last updated Dec 3, 2014
Key facts
- NPI
- 1720056575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Larry B. Fishbaugh, D.O.
- Title
- Health Commissioner
- Phone
- (419) 399-3921
Owned or controlled facilities with NPI records 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 2
Member organizations 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0859346 | Paulding County Health Department | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Paulding County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 4, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070302000051 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638271133 | Practice locations: Paulding, OH |
National Provider Directory
- Tax ID family
- Paulding Cnty BRD of Mr
Locations
800 E Perry St
Paulding, OH 45879
Phone (419) 399-3921
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0624499 | Medicaid | OH |
Other providers in Paulding, OH
- Orthopaedic Institute of Ohio
- P.C. Workshop, Inc.
- Paul W. Harr, D.D.S., Inc.
- Paulding Counseling Center
- Paulding County
- Paulding County Board of MRDD
- Paulding County Hospital
- Paulding County Hospital
- Paulding County Hospital Physician Services
- Paulding Exempted Village Schools
All providers in Paulding, OH · Public Health or Welfare Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.