Provider Demographics
NPI:1144364142
Name:MADISON COUNTY AUDITOR
Entity type:Organization
Organization Name:MADISON COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:740-852-3065
Mailing Address - Street 1:PO BOX 467
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-0467
Mailing Address - Country:US
Mailing Address - Phone:740-852-3065
Mailing Address - Fax:
Practice Address - Street 1:306 LAFAYETTE ST
Practice Address - Street 2:SUITE B
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-9069
Practice Address - Country:US
Practice Address - Phone:740-852-3065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0253729Medicaid
OH0253729Medicaid