NPIMap

Organization Active NPI

Primetown Ohio LLC

  • Clinic/Center
  • Newark, OH
National Provider Identifier
1124733167
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIMETOWN OHIO LLC
Practice address
905 N 21St St Ste a
Newark, OH 43055-7251
Phone
(740) 281-3663
Fax
(740) 281-3818
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Stephanie Rice, RN, BSN, MBANPI 1164121042
Title
Owner
Phone
(740) 704-1225

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 Primary

Addresses

Primary practice location

905 N 21St St Ste a
Newark, OH 43055-7251

Mailing address

905 N 21St St Ste a
Newark, OH 43055-7251
Phone (740) 281-3663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssharrock@qualitycarepartners.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

905 N 21st St
Ste A
Newark, OH 43055
Phone (740) 281-3663

Practitioners & affiliated clinicians

Practitioners 1

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": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1124733167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N 21ST ST STE A",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557251",
            "telephone_number": "740-281-3663",
            "fax_number": "740-281-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N 21ST ST STE A",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557251",
            "telephone_number": "740-281-3663",
            "fax_number": "740-281-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETOWN OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-704-1225",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssharrock@qualitycarepartners.com",
            "affiliation": "N",
            "endpointDescription": "ssharrock@qualtycarepartners.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 N 21st St Ste A",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430557251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.