Provider Demographics
NPI:1023897857
Name:ORANGE COUNTY HEALTH DEPT
Entity type:Organization
Organization Name:ORANGE COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-723-7112
Mailing Address - Street 1:205 E MAIN ST STE 9
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:IN
Mailing Address - Zip Code:47454-1591
Mailing Address - Country:US
Mailing Address - Phone:812-723-7112
Mailing Address - Fax:812-723-7117
Practice Address - Street 1:ORANGE COUNTY HEALTH DEPT.
Practice Address - Street 2:205 EAST MAIN STREET STE 9
Practice Address - City:PAOLI
Practice Address - State:IN
Practice Address - Zip Code:47454-1591
Practice Address - Country:US
Practice Address - Phone:812-723-7112
Practice Address - Fax:812-723-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare