NPIMap

Organization Active NPI

Collins Career Center Student Based Health Center

  • Clinic/Center
  • Chesapeake, OH
National Provider Identifier
1134534217
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COLLINS CAREER CENTER STUDENT BASED HEALTH CENTER
Practice address
11627 Sate Route 243
Chesapeake, OH 45619-7962
Phone
(740) 867-6641
Fax
(740) 867-9626
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Jaime Sue Chafin, BSN, MA
Title
Administrator
Phone
(740) 867-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11627 Sate Route 243
Chesapeake, OH 45619-7962

Mailing address

11627 State Route 243
Chesapeake, OH 45619-7962
Phone (740) 867-6641

National Provider Directory

National Provider Directory

Locations

11627 State Route 243
Chesapeake, OH 45619
Phone (740) 867-6641

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1134534217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11627 STATE ROUTE 243",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197962",
            "telephone_number": "740-867-6641",
            "fax_number": "740-867-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11627 SATE ROUTE 243",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197962",
            "telephone_number": "740-867-6641",
            "fax_number": "740-867-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CAREER CENTER STUDENT BASED HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "CHAFIN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-867-6641",
        "authorized_official_credential": "BSN, MA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.