NPIMap

Organization Active NPI

Pike Co

  • Public Health or Welfare Agency
  • Waverly, OH
National Provider Identifier
1104911213
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PIKE CO
Practice address
116 S Market St
Waverly, OH 45690-1359
Phone
(740) 947-7721
Fax
(740) 947-1109
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
PIKE COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Matthew Brewster
Title
Health Commissioner
Phone
(740) 947-7721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

116 S Market St
Waverly, OH 45690-1359

Mailing address

116 S Market St
Waverly, OH 45690-1359
Phone (740) 947-7721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000003 OH Part B Supplier - Mass Immunization (Roster Biller Only) 7517967227 Receives reassigned benefits from 1 practitioner
Practice locations: Waverly, OH

National Provider Directory

National Provider Directory
Tax ID family
Pike Co Home Health Ag9 organizations share this tax ID, including this one
Part of
Pike Co Home Health Ag

Other organizations with this tax ID 8

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

Locations

9116 Hamer Rd
Ste 101
Georgetown, OH 45121

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1104911213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MARKET ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901359",
            "telephone_number": "740-947-7721",
            "fax_number": "740-947-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MARKET ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901359",
            "telephone_number": "740-947-7721",
            "fax_number": "740-947-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKE CO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "740-947-7721"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.