Active NPI
Cru Clinic
- Clinic/Center
- Ontario, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CRU CLINIC
- Practice address
- 2293 Village Park CT
Ontario, OH 44906-1167 - Phone
- (419) 775-5457
- Fax
- (866) 500-5148
- NPI assigned
- Jan 17, 2021
- Last updated
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jenny Swisher, CNP
- Title
- Nurse Practitioner
- Phone
- (419) 989-3180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
2293 Village Park CT
Ontario, OH 44906-1167
Mailing address
2293 Village Park CT
Ontario, OH 44906-1167
Phone (419) 775-5457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0412012 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2003 W 4th St
Ste 200
Ontario, OH 44906
Phone (419) 989-3180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Ontario, OH
- NPI 1023627841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1215526934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2293 VILLAGE PARK CT",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061167",
"telephone_number": "419-775-5457",
"fax_number": "866-500-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2293 VILLAGE PARK CT",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061167",
"telephone_number": "419-775-5457",
"fax_number": "866-500-5148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRU CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-17",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "SWISHER",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "419-989-3180",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0412012",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.