NPIMap

Organization Active NPI

Union County

Doing business as Union County Health Department

  • Community Health Clinic/Center
  • Marysville, OH
National Provider Identifier
1104875541
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
UNION COUNTY
Doing business as
Union County Health Department
Practice address
940 London Avenue
Suite 1100
Marysville, OH 43040
Phone
(937) 642-2053
Fax
(937) 642-9725
NPI assigned
May 10, 2006
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Krista Finch, APRN-CNPNPI 1184078677
Title
Family Nurse Practitioner
Phone
(937) 642-2053

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Public Health or Welfare Agency 251K00000X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

940 London Avenue
Suite 1100
Marysville, OH 43040

Mailing address

940 London Avenue
Suite 1100
Marysville, OH 43040
Phone (937) 642-0801

Other names 1

  • Union County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000250 OH Part B Supplier - Public Health/Welfare Agency 1456519206 Receives reassigned benefits from 3 practitioners
Practice locations: Marysville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0330790Union County Health Department940 London Ave Suite 1100, Marysville, OH 43040Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Union County Health Dep2 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.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

306 Lafayette St
Ste B
London, OH 43140
Phone (740) 852-3065

940 London Ave
Marysville, OH 43040
Phone (937) 578-8944

940 London Ave
Ste 1100
Marysville, OH 43040
Phone (937) 642-0801

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial HospitalMarysville, OH, CCN 360092 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1104875541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 LONDON AVENUE",
            "address_2": "SUITE 1100",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43040",
            "telephone_number": "937-642-0801",
            "fax_number": "937-642-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 LONDON AVENUE",
            "address_2": "SUITE 1100",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43040",
            "telephone_number": "937-642-2053",
            "fax_number": "937-642-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "937-642-2053",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.