ACTIVATE HEALTHCARE - COOPER FARMS SOUTH


Address: 640 East Main Street, St. Henry, OH 45883
Phone: 4197634133

ACTIVATE HEALTHCARE - COOPER FARMS SOUTH (NPI# 1982078705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982078705
Entity Type Organization
Organization Name ACTIVATE HEALTHCARE - COOPER FARMS SOUTH
Practice Address 640 East Main Street
St. Henry
OH 45883
Mailing Address 2010 N Damen Ave
Suite F
Chicago
IL 60647-3284
Practice Telephone 4197634133
Practice Fax Number 4197634163
Mailing Telephone 7736973144
Enumeration Date 2015-11-17
Last Update Date 2015-11-17
Authorized Official Name DEBRA GEIHSLER (PRINCIPAL)
Authorized Official Telephone 7737047002
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 640 EAST MAIN STREET
City ST. HENRY
State OH
Zip Code 45883

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538767538 Southern Mercer County Joint Ambulance District Ambulance 436 Western Ave, Saint Henry, OH 45883 2020-10-12
1275917551 Megan Lefeld Specialist/Technologist 1931 Burk-st. Henry Rd, Saint Henry, OH 45883 2015-07-16
1235456906 Niekamp Chiropractic Center, LLC Clinic/Center 551 South Eastern Avenue, St. Henry, OH 45883 2010-04-21
1629219183 Erin Gina Niekamp Chiropractor 551 S. Eastern Ave, St. Henry, OH 45883 2009-03-13
1649281205 St Henry Hometown Pharmacy Pharmacy 451 Stachler Dr, St Henry, OH 45883 2006-08-10
1740410422 Amy Lynn Bankey Optometrist 570 E Kremer Hoying Rd, Saint Henry, OH 45883 2009-07-16
1225036197 Michael A. Fishbaugh Jr. Optometrist 570 Kremer Hoying Rd., Suite F, St. Henry, OH 45883-0040 2005-07-13
1083142889 Katrina Marie Schlarman Optometrist 570 E Kremer Hoying Rd, Saint Henry, OH 45883-7600 2017-05-24
1952549370 St. Henry Cons. Local Schools Local Education Agency (LEA) 391 E Columbus St, Saint Henry, OH 45883-8613 2009-01-22
1376006858 Lauren Siefring Speech-Language Pathologist 4108 Lange Rd, Saint Henry, OH 45883-8723 2019-04-10
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City ST. HENRY
Zip Code 45883

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Dataset Information

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.

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