Organization Active NPI

Warren Outpatient Services

  • Community/Behavioral Health Agency
  • Lebanon, OH
National Provider Identifier
1104057280
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WARREN OUTPATIENT SERVICES
Practice address
759 Columbus Ave
Lebanon, OH 45036-1754
Phone
(513) 932-4337
Fax
(513) 932-6750
NPI assigned
Aug 6, 2009
Organization subpart
Yes
Parent organization
TALBERT HOUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Mr. Shane Michael Anderson, LCDC III
Title
Clinical Service Provider
Phone
(513) 932-4337

Specialties & licenses 1

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

Addresses

Primary practice location

759 Columbus Ave
Lebanon, OH 45036-1754

Mailing address

759 Columbus Ave
Lebanon, OH 45036-1754
Phone (513) 932-4337

National Provider Directory

National Provider Directory
Tax ID family
Talbert House8 organizations share this tax ID, including this one
Part of
Talbert House

Other organizations with this tax ID 7

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12321/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/talberthouse/r4/

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1104057280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361754",
            "telephone_number": "513-932-4337",
            "fax_number": "513-932-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361754",
            "telephone_number": "513-932-4337",
            "fax_number": "513-932-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN OUTPATIENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALBERT HOUSE",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL SERVICE PROVIDER",
        "authorized_official_telephone_number": "513-932-4337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.