| Erie County Office Of Auditor | |
|
117 Addison Street Kelleys Island OH 43438-6500 | |
| (419) 626-5623 | |
| Not Available |
| Full Name | Erie County Office Of Auditor |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 Addison Street, Kelleys Island, Ohio |
| Authorized Official Name and Position | Joseph Palmucci (CEO/CFO) |
| Authorized Official Contact | 4196265623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erie County Office Of Auditor 420 Superior St Sandusky OH 44870-1849 Ph: (419) 626-5623 | Erie County Office Of Auditor 117 Addison Street Kelleys Island OH 43438-6500 Ph: (419) 626-5623 |
| NPI Number | 1598331951 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 7911050711 |
|---|---|
| Medicare Enrollment ID | O20220804003580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598331951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Erie County Office Of Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Addison St, Kelleys Island, OH 43438 Phone: 567-867-5174 |