SPRINGFIELD HEALTH CARE CENTER, INC. (NPI# 1528388485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528388485 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD HEALTH CARE CENTER, INC. |
| Practice Address |
2624 Lexington Ave 200 Springfield OH 45505-2607 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9373282310 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (SR. DIRECTOR OPERAITONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 35.044718 | OH | Suppliers |
| Street Address |
2624 LEXINGTON AVE 200 |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013961945 | Mckinley Hall, Inc. | Substance Abuse Rehabilitation Facility | 2624 Lexington Ave, Springfield, OH 45505 | 2006-05-22 |
| 1801414636 | Kylie Nicole Getz | Counselor | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2020-07-08 |
| 1043837594 | Kaitlyn E Lough | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2020-07-01 |
| 1942821756 | Joshua Paul Bilunka | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2020-05-04 |
| 1134758378 | Tina L Crace | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2020-04-08 |
| 1265069637 | Grant E Kunkle | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2020-03-25 |
| 1679110639 | Joirdin Nicole Quinn | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2019-12-09 |
| 1265079222 | Anthony Duane Moore Jr. | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2019-12-09 |
| 1497396055 | Ashley W Roach | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2019-10-04 |
| 1922655760 | Timothy Michael Huber | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1811131956 | U.S. Optical | Non-Pharmacy Dispensing Site | 2346 S Campbell Ave, Springfield, MO 65807-2972 | 2009-04-20 |
| 1225541188 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2017-11-14 |
| 1669985602 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1025 S 6th St, Springfield, IL 62703-2403 | 2017-11-13 |
| 1932511870 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2014-05-27 |
| 1659713345 | Peace Health | Non-Pharmacy Dispensing Site | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2013-07-23 |
| 1225473770 | Mayo Clinic Health System-southwest Minnesota Region | Non-Pharmacy Dispensing Site | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2013-05-09 |
| 1104062371 | Willamette Community Medical Group, LLC | Non-Pharmacy Dispensing Site | 5781 Main St, Springfield, OR 97478-5426 | 2008-12-18 |
| 1023069473 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 3550 Main St Ste 201, Springfield, MA 01107 | 2006-05-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.