Grant County Auditor
Organization Active NPI Community Health Registered Nurse · Marion, IN
NPI 1821148263 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1821148263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- Legal business name
- GRANT COUNTY AUDITOR
- Practice address
- 401 S Adams St
Nursing Division
Marion, IN 46953-2037 - Phone
- (765) 662-0377
- Fax
- (765) 662-9028
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. William David Moore, M. D.
- Title
- Grant County Health Officer
- Phone
- (765) 662-0377
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0709878 | Grant County Health Department | Certificate of waiver | Jun 22, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070918000602 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628162138 | Practice locations: Marion, IN |
National Provider Directory
- Tax ID family
- Grant County Auditor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse |
163WC1500X | Yes |
Addresses
Primary practice location
401 S Adams St
Nursing Division
Marion, IN 46953-2037
Mailing address
401 S Adams St
Nursing Division
Marion, IN 46953-2037
Phone (765) 662-0377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA0060 | Other | IN | MEDICARE PART B |
| TA0060 | Other | MEDICARE PTAN # |
Other names
- Grant County Health Department
- Grant County Health Dept/Nursing Division
Other providers in Marion, IN
- Isaac Gottschalk
- Sarah Marie Gove
- Sarah Margarita Grace
- Elizabeth Graham
- Grant Ambulatory Surgery Center, LLC
- Grant County Auditor/
- Grant-Blackford Mental Health, Inc.
- Grant-Blackford Mental Health, Inc.
- Grant-Blackford Mental Health, Inc.
- Grant-Blackford Mental Health, Inc.
All providers in Marion, IN · Community Health Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. 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.
- 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.