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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
640 EAST MAIN STREET |
City | ST. HENRY |
State | OH |
Zip Code | 45883 |
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 |
Find all providers in zip 45883 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.