Organization Active NPI

Erie County Office of Auditor

Doing business as Erie County General Health District

  • Primary Care Clinic/Center
  • Sandusky, OH
National Provider Identifier
1821167198
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ERIE COUNTY OFFICE OF AUDITOR
Doing business as
Erie County General Health District
Practice address
420 Superior St
Sandusky, OH 44870-1849
Phone
(419) 626-5623
Fax
(419) 626-8778
NPI assigned
Nov 8, 2006
Reactivated
May 21, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Melissa Ann Keller
Title
Cfo
Phone
(419) 626-5623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

420 Superior St
Sandusky, OH 44870-1849

Mailing address

420 Superior St
Sandusky, OH 44870-1815
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 OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090728000209 OH Part B Supplier - Clinic/Group Practice 7911050711 Receives reassigned benefits from 3 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kelleys Island, OH; Vermilion, OH; Sandusky, OH; Port Clinton, OH; Norwalk, OH; Milan, OH
O20110608000739 OH Part A Provider - Federally Qualified Health Center (FQHC) 7911050711 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sandusky, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821167198. Details of each certification follow.

Federally qualified health center certification: CCN 361972

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
Jun 9, 2011
Last certification
Jun 9, 2011
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
420 Superior St
Sandusky, OH 44870-1849

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

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
Joseph P Palmucci Individual Corporate DirectorCeo/Cfo Mar 25, 2011 100%
Erie County Office of Auditor Organization, Sandusky, OH Operational/Managerial Control Mar 25, 2011
Peter T Schade Individual W-2 Managing EmployeeHealth Commissioner Mar 25, 2011 100%

Owners & managing parties with NPI records 10

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1821167198",
    "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": "448701815",
            "telephone_number": "419-626-5623",
            "fax_number": "419-626-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623",
            "fax_number": "419-626-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE COUNTY OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "deactivation_date": "2014-02-21",
        "reactivation_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-626-5623"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erie County General Health District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erie County General Health District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.