WOOD COUNTY AUDITOR NPI 1750712782

NPI Information

NPI: 1750712782
Provider Name: WOOD COUNTY AUDITOR

Doing Business As: WOOD COUNTY COMMUNITY HEALTH AND WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1840 E GYPSY LANE RD
BOWLING GREEN, OH
ZIP 43402
Phone: (419) 352-8402
Get Directions

WOOD COUNTY AUDITOR is a federally qualified health center (fqhc) clinic center in Bowling Green, OH. WOOD COUNTY AUDITOR NPI is 1750712782. The provider is registered as an organization entity type.
The provider Is Doing Business As Wood County Community Health And Wellness Center.

The provider's business location address is:

1840 E GYPSY LANE RD
BOWLING GREEN, OH
ZIP 43402-173
Phone: (419) 352-8402
Fax: (419) 354-2169

The provider's authorized official is Diane Krill .
The authorized official title is Ceo and has the following contact phone number (419) 352-8402.

The CLIA number assigned to this NPI record is 36D0330911 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2013 and was last updated on 2/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0109234	MEDICAID	OHIO
2	361052	MEDICARE UPIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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