Provider Demographics
NPI:1144007188
Name:JASPER COUNTY GOVERNMENT
Entity type:Organization
Organization Name:JASPER COUNTY GOVERNMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDITOR
Authorized Official - Prefix:
Authorized Official - First Name:DONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-866-4654
Mailing Address - Street 1:115 W. WASHINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:IN
Mailing Address - Zip Code:47978-2829
Mailing Address - Country:US
Mailing Address - Phone:219-866-4933
Mailing Address - Fax:
Practice Address - Street 1:910 S. SPARKLING AVE.
Practice Address - Street 2:STE. 1
Practice Address - City:RENSSELAER
Practice Address - State:IN
Practice Address - Zip Code:47978-9132
Practice Address - Country:US
Practice Address - Phone:219-866-4918
Practice Address - Fax:219-866-4108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty