Provider Demographics
NPI:1700390432
Name:PAULDING COUNTY
Entity type:Organization
Organization Name:PAULDING COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR CENTER EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MORHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-399-3650
Mailing Address - Street 1:401 E. JACKSON STREET
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879
Mailing Address - Country:US
Mailing Address - Phone:419-399-3650
Mailing Address - Fax:419-399-3781
Practice Address - Street 1:401 E. JACKSON STREET
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879
Practice Address - Country:US
Practice Address - Phone:419-399-3650
Practice Address - Fax:419-399-3781
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAULDING COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-16
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174200000XOther Service ProvidersMeals
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2981484Medicaid