NPIMap

Organization Active NPI

Clark County Educational Service Center

  • Public Health or Welfare Agency
  • Springfield, OH
National Provider Identifier
1154415032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLARK COUNTY EDUCATIONAL SERVICE CENTER
Practice address
30 Warder St.
Suite 120
Springfield, OH 45504-2580
Phone
(937) 325-7671
Fax
(937) 325-9915
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Phillip Calland
Title
Treasurer
Phone
(937) 325-7671

Specialties & licenses 1

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

Addresses

Primary practice location

30 Warder St.
Suite 120
Springfield, OH 45504-2580

Mailing address

30 Warder St.
Suite 120
Springfield, OH 45504-2580
Phone (937) 325-7671

Other identifiers 1

IdentifierTypeStateIssuer
0902232MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Clark County Educational Service Center2 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.

Locations

30 Warder St
Ste 120
Springfield, OH 45504
Phone (937) 325-7671

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154415032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WARDER ST.",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042580",
            "telephone_number": "937-325-7671",
            "fax_number": "937-325-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARDER ST.",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042580",
            "telephone_number": "937-325-7671",
            "fax_number": "937-325-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY EDUCATIONAL SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "937-325-7671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0902232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.