NPIMap

Organization Active NPI

Scioto Paint Valley MH Ctr

  • Multi-Specialty Clinic/Center
  • Chillicothe, OH
National Provider Identifier
1053679100
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SCIOTO PAINT VALLEY MH CTR
Practice address
4449 State Route 159
Chillicothe, OH 45601-8620
Phone
(740) 775-1260
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Debi Nolan
Title
Follow Up Specialist/Credentialing
Phone
(740) 772-7909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

4449 State Route 159
Chillicothe, OH 45601-8620

Mailing address

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 775-1260

Other identifiers 2

IdentifierTypeStateIssuer
2921253MedicaidOH
2401332MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Pike County Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

400 Chamber Dr
Chillicothe, OH 45601
Phone (740) 642-2401

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1053679100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIOTO PAINT VALLEY MH CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "FOLLOW UP SPECIALIST/CREDENTIALING",
        "authorized_official_telephone_number": "740-772-7909"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2921253",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401332",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.