NPIMap

Organization Active NPI

Health Professionals of Holmes County, Inc

Doing business as Pomerene Express Care

  • Rural Health Clinic/Center
  • Berlin, OH
National Provider Identifier
1033387378
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HEALTH PROFESSIONALS OF HOLMES COUNTY, INC
Doing business as
Pomerene Express Care
Practice address
4900 Oak Street
Berlin, OH 44610
Phone
(330) 893-2754
Fax
(330) 893-1485
NPI assigned
Feb 20, 2008
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH PROFESSIONALS OF HOLMES COUNTY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Mr. Jason Justus
Title
Chief Financial Officer
Phone
(330) 674-1015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

4900 Oak Street
Berlin, OH 44610

Mailing address

1261 Wooster Rd
Suite 200
Millersburg, OH 44654-1568
Phone (330) 674-2822

Other identifiers 1

IdentifierTypeStateIssuer
2810444MedicaidOH

Other names 1

  • Pomerene Express Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HPHC Cardiac Rehab7 organizations share this tax ID, including this one
Part of
HPHC Cardiac Rehab

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1033387378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 WOOSTER RD",
            "address_2": "SUITE 200",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541568",
            "telephone_number": "330-674-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OAK STREET",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "44610",
            "telephone_number": "330-893-2754",
            "fax_number": "330-893-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PROFESSIONALS OF HOLMES COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH PROFESSIONALS OF HOLMES COUNTY, INC",
        "enumeration_date": "2008-02-20",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "JUSTUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-674-1015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2810444",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomerene Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.