Organization · Type 2 NPI

County of Putnam Office of Auditor

Community Based Hospice Care Agency · Ottawa, OH

NPI number 1972509024 Active

Practice location

575 O-G Road Suite 3
Ottawa, OH 45875

Call (419) 523-4449 Map

Fax (419) 523-6328

Mailing address

PO Box 312
Ottawa, OH 45875-0312

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	0109-HSP (OH)

Community Based Hospice Care Agency: Definition to come...

NPI record

NPI: 1972509024
Entity type: Organization (Type 2)
Issued: Jun 23, 2005
Last updated: Dec 9, 2020
Status: Active

Other names

<unavail>
Putnam County Hospice · doing business as
Putnam County Hospice · doing business as

Authorized official

Dr. Jacinta Eickholt, MD
Medical Director
(419) 523-4449

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972509024

County of Putnam Office of Auditor's National Provider Identifier is 1972509024, issued on Jun 23, 2005. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Ottawa, OH. The record was last updated on Dec 9, 2020.