Organization Active NPI

Cru Clinic

  • Clinic/Center
  • Ontario, OH
National Provider Identifier
1215526934
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Mrs. Jenny Swisher, CNPNPI 1023627841
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0412012MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.