Provider Demographics
NPI:1366576621
Name:GALLIA COUNTY COMMISSIONERS
Entity type:Organization
Organization Name:GALLIA COUNTY COMMISSIONERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:VALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-441-2950
Mailing Address - Street 1:499 JACKSON PIKE
Mailing Address - Street 2:SUITE D
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1399
Mailing Address - Country:US
Mailing Address - Phone:740-441-2950
Mailing Address - Fax:
Practice Address - Street 1:499 JACKSON PIKE
Practice Address - Street 2:SUITE D
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1398
Practice Address - Country:US
Practice Address - Phone:740-441-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2216560Medicaid
OHA71106Medicare UPIN
OH2216560Medicaid