NPIMap

Organization Active NPI

Community Action Agency of Columbiana Cnty, Inc

Doing business as Lisbon Community Dental Center

  • Primary Care Clinic/Center
  • Lisbon, OH
National Provider Identifier
1174627624
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC
Doing business as
Lisbon Community Dental Center
Practice address
38722 Saltwell Rd
Lisbon, OH 44432-8303
Phone
(330) 424-4192
Fax
(330) 424-3137
NPI assigned
Sep 12, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Beth A Weir
Title
Chief Operating Officer
Phone
(330) 424-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

38722 Saltwell Rd
Lisbon, OH 44432-8303

Mailing address

7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-7221

Other identifiers 1

IdentifierTypeStateIssuer
0121031MedicaidOH

Other names 1

  • Lisbon Community Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Action Agency of Columbiana County7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1174627624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-7221",
            "fax_number": "330-424-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38722 SALTWELL RD",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328303",
            "telephone_number": "330-424-4192",
            "fax_number": "330-424-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA CNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "330-424-7221"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisbon Community Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.