NPIMap

Organization Active NPI

Perry County Family Practice, Inc.

  • Primary Care Clinic/Center
  • New Lexington, OH
National Provider Identifier
1003088790
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35-042516 Issued in OH
Legal business name
PERRY COUNTY FAMILY PRACTICE, INC.
Practice address
1625 Airport Rd
New Lexington, OH 43764-9749
Phone
(740) 342-5158
Fax
(740) 342-7393
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Theresa L. Ulrich, MSW
Title
Practice Manager
Phone
(740) 342-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35-042516 OH Primary

Addresses

Primary practice location

1625 Airport Rd
New Lexington, OH 43764-9749

Mailing address

1625 Airport Rd
P.O. Box 596
New Lexington, OH 43764-9749
Phone (740) 342-5158

Other identifiers 1

IdentifierTypeStateIssuer
0940996MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1003088790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "address_2": "P.O. BOX 596",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-342-5158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35-042516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.