NPIMap

Organization Active NPI

Perry County Family Practice, Inc.

  • Clinic/Center
  • New Lexington, OH
National Provider Identifier
1104835743
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
35-042516 Issued in OH
Legal business name
PERRY COUNTY FAMILY PRACTICE, INC.
Practice address
1625 Airport Rd
New Lexington, OH 43764-9749
Phone
(740) 342-5158
Fax
(740) 342-7393
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mrs. Theresa L Ulrich, MSW, LISWNPI 1750337747
Title
Owner/Social Worker
Phone
(740) 342-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 35-042516 OH Primary

Addresses

Primary practice location

1625 Airport Rd
New Lexington, OH 43764-9749

Mailing address

1625 Airport Rd
New Lexington, OH 43764-9749
Phone (740) 342-5158

Other identifiers 2

IdentifierTypeStateIssuer
0648580MedicaidOH
0940996MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Perry County Family Practice2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1104835743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "740-342-5158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "35-042516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0648580",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.