NPIMap

Organization Active NPI

Mansfield Urban Minority Alcoholism and Drug Abuse Outreach Program

  • Community/Behavioral Health Agency
  • Mansfield, OH
National Provider Identifier
1033571963
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MANSFIELD URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM
Practice address
400 Bowman St
Mansfield, OH 44903-1235
Phone
(419) 525-3525
Fax
(419) 525-3538
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Mr. Dennis Baker
Title
President
Phone
(419) 525-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

400 Bowman St
Mansfield, OH 44903-1235

Mailing address

PO Box 1316
Mansfield, OH 44901-1316
Phone (419) 525-3525

Other names 1

  • Mansfield UMADAOP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mansfield Umadaop Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1033571963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449011316",
            "telephone_number": "419-525-3525",
            "fax_number": "419-525-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOWMAN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031235",
            "telephone_number": "419-525-3525",
            "fax_number": "419-525-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD URBAN MINORITY ALCOHOLISM AND DRUG ABUSE OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-525-3525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield UMADAOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.