Carr Corporation
Organization Active NPI Clinic/Center · Fort Recovery, OH
NPI 1154588192 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1154588192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 3511 (OH)
- Legal business name
- CARR CORPORATION
- Practice address
- 103 E Broadway Street
Fort Recovery, OH 45846-0672 - Phone
- (419) 375-1808
- Fax
- (419) 375-1709
- NPI assigned
- May 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Joseph Carr, D.C.
- Title
- Owner
- Phone
- (419) 375-1808
Practitioners 2
-
Daniel Joseph Carr, D.C.
-
Scott F Jutte, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080523000028 | OH | Part B Supplier - Clinic/Group Practice | 3072682590 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Recovery, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 3511 | OH | Yes |
Addresses
Primary practice location
103 E Broadway Street
Fort Recovery, OH 45846-0672
Mailing address
PO Box 672
Fort Recovery, OH 45846-0672
Phone (419) 375-1808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2531013 | Medicaid | OH |
Other providers in Fort Recovery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.