Organization Active NPI

Marshall County Indiana

  • Public Health or Welfare Agency
  • Plymouth, IN
National Provider Identifier
1962701185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MARSHALL COUNTY INDIANA
Practice address
510 W Adams St Ste GL30
Plymouth, IN 46563-1784
Phone
(574) 935-8565
Fax
(574) 936-9247
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christine M Stinson
Title
Administrator Health Department
Phone
(574) 935-8565

Specialties & licenses 1

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

Addresses

Primary practice location

510 W Adams St Ste GL30
Plymouth, IN 46563-1784

Mailing address

510 W Adams St Ste GL30
Plymouth, IN 46563-1784
Phone (574) 935-8565

Other identifiers 1

IdentifierTypeStateIssuer
201024050AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962701185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W ADAMS ST STE GL30",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631784",
            "telephone_number": "574-935-8565",
            "fax_number": "574-936-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W ADAMS ST STE GL30",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631784",
            "telephone_number": "574-935-8565",
            "fax_number": "574-936-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR HEALTH DEPARTMENT",
        "authorized_official_telephone_number": "574-935-8565"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201024050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.