NPIMap

Organization Active NPI

United Church Homes Inc

Doing business as Fairhaven North - Laboratory

  • Clinical Medical Laboratory
  • Upper Sandusky, OH
National Provider Identifier
1154582930
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0701254 Issued in OH
Legal business name
UNITED CHURCH HOMES INC
Doing business as
Fairhaven North - Laboratory
Practice address
800 Mission Dr
Upper Sandusky, OH 43351-1067
Phone
(419) 294-3803
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED CHURCH HOMES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. John Stoner
Title
Vice President Financial Services
Phone
(740) 382-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0701254 OH Primary

Addresses

Primary practice location

800 Mission Dr
Upper Sandusky, OH 43351-1067

Mailing address

800 Mission Dr
Upper Sandusky, OH 43351-1067
Phone (419) 294-3803

Other names 1

  • Fairhaven North - Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Church Homes Inc Dba the Parkvue Community on Catawba Island24 organizations share this tax ID, including this one
Part of
United Church Homes Inc Dba the Parkvue Community on Catawba Island

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1154582930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MISSION DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511067",
            "telephone_number": "419-294-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MISSION DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511067",
            "telephone_number": "419-294-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CHURCH HOMES INC",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT  FINANCIAL SERVICES",
        "authorized_official_telephone_number": "740-382-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0701254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven North - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.