CMS-1500 Box 24J / 33a • NPI
1972509024
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251G00000X (CMS B4[14])
Licensed & Credentialed Agencies — Hospice Care, Community Based
Box 32 Service Location & ZIP+4
575 O-G ROAD SUITE 3, OTTAWA, OH, 45875
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972509024 (COUNTY OF PUTNAM OFFICE OF AUDITOR) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972509024 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COUNTY OF PUTNAM OFFICE OF AUDITOR |
| Plain-English Specialty | Licensed & Credentialed Agencies — Hospice Care, Community Based NUCC Code: 251G00000X (Hospice Care, Community Based) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 575 O-G ROAD SUITE 3, OTTAWA, OH, 45875 |
| Practice Telephone / Fax | Tel: (419) 523-4449 | Fax: (419) 523-6328 |
| Administrative Mailing Address | PO BOX 312, OTTAWA, OH, 45875-0312 |
| Enumeration & Last Sync | Enumerated: 2005-06-23 | CMS Record Updated: 2020-12-09 |
| Authorized Official | JACINTA EICKHOLT (Medical Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251G00000X)
What Does Taxonomy Code 251G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251G00000X translates to:
"Licensed & Credentialed Agencies — Hospice Care, Community Based"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COUNTY OF PUTNAM OFFICE OF AUDITOR)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251G00000X — Hospice Care, Community BasedPlain English: Licensed & Credentialed Agencies — Hospice Care, Community Based | State: OH | License: 0109-HSP | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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