Active NPI
Access Tusc
- Community Health Worker
- Dover, OH
National Provider Identifier
1063061489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- ACCESS TUSC
- Practice address
- 659 Boulevard St
Dover, OH 44622-2026 - Phone
- (330) 308-3591
- Fax
- (330) 343-4883
- NPI assigned
- Sep 9, 2019
- Last updated
- Sep 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Ann Endlich
- Title
- Hub Director
- Phone
- (330) 308-3591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
659 Boulevard St
Dover, OH 44622-2026
Mailing address
PO Box 314
Dover, OH 44622-0314
Phone (330) 308-3591
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567987200000",
"number": "1063061489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 314",
"city": "DOVER",
"state": "OH",
"postal_code": "446220314",
"telephone_number": "330-308-3591",
"fax_number": "330-343-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222026",
"telephone_number": "330-308-3591",
"fax_number": "330-343-4883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS TUSC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A",
"authorized_official_last_name": "ENDLICH",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "HUB DIRECTOR",
"authorized_official_telephone_number": "330-308-3591"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.