Organization Active NPI

Falcon Health Center LLC

  • Community/Retail Pharmacy
  • Bowling Green, OH
National Provider Identifier
1174866297
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022314400 Issued in OH
Legal business name
FALCON HEALTH CENTER LLC
Doing business as
Falcon Health Center Pharmacy
Practice address
838 E Wooster St
Bowling Green, OH 43402-3186
Phone
(419) 372-7443
Fax
(419) 372-7999
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Karol Bortel
Title
President
Phone
(419) 354-8860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022314400 OH Primary

Addresses

Primary practice location

838 E Wooster St
Bowling Green, OH 43402-3186

Mailing address

Wood County Hospital
950 West Wooster
Bowling Green, OH 43402
Phone (419) 372-7443

Other identifiers 2

IdentifierTypeStateIssuer
0085424MedicaidOH
2140134OtherPK

Other names 1

  • Falcon Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
After Hours Provider Dispensing2 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

838 E Wooster St
Bowling Green, OH 43402
Phone (419) 372-2271

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1174866297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOOD COUNTY HOSPITAL",
            "address_2": "950 WEST WOOSTER",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-372-7443",
            "fax_number": "419-372-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023186",
            "telephone_number": "419-372-7443",
            "fax_number": "419-372-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BORTEL",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-354-8860"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022314400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085424",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falcon Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Falcon Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.