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1528726296 NPI number — HEALTH PROFESSIONALS OF HOLMES COUNTY, INC

NPI Number: 1528726296
Health Care Provider/Practitioner: HEALTH PROFESSIONALS OF HOLMES COUNTY, INC

Information about “1528726296” NPI (HEALTH PROFESSIONALS OF HOLMES COUNTY, INC) exists in 1528726296 in HTML format HTML  |  1528726296 in plain Text format TXT  |  1528726296 in PDF (Portable Document Format) PDF  |  1528726296 in an XML format XML  formats.

NPI Number : 1528726296 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528726296",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEALTH PROFESSIONALS OF HOLMES COUNTY, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "981 WOOSTER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILLERSBURG",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44654-1536",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-674-1015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3169 STATE ROUTE 39",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILLERSBURG",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44654-8805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-674-1015",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/30/2021",
    "LastUpdateDate": "11/30/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROHR",
    "AuthorizedOfficialFirstName": "JASON",
    "AuthorizedOfficialMiddleName": "ALLEN",
    "AuthorizedOfficialTitle": "CONTROLLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "330-674-1584",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QX0100X",
          "TaxonomyName": "Occupational Medicine Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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