NPIMap

Organization Active NPI

Clinic Security and Logistics, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
National Provider Identifier
1225745284
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLINIC SECURITY AND LOGISTICS, INC.
Practice address
4977 Northcutt PL
Dayton, OH 45414-3839
Phone
(937) 387-6395
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Karen Crane-Jackson
Title
Compliance Director
Phone
(800) 829-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4977 Northcutt PL
Dayton, OH 45414-3839

Mailing address

6788 Loop Rd
Dayton, OH 45459-2161
Phone (800) 829-5461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240516003264 OH Part B Supplier - Clinic/Group Practice 7911348248 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vincent, OH; Steubenville, OH; Springfield, OH; Little Hocking, OH; Fairfield, OH; Dayton, OH; Fairborn, OH; Chillicothe, OH…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clinic Security and Logistics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

931 E Water St
Chillicothe, OH 45601
Phone (740) 573-7005

20 Livingston Ave
Dayton, OH 45403
Phone (937) 461-1000

325 N Broad St
Fairborn, OH 45324

326 S Thompson Ave
Springfield, OH 45506

330 N 7th St
Steubenville, OH 43952
Phone (740) 202-8074

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1225745284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6788 LOOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592161",
            "telephone_number": "800-829-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143839",
            "telephone_number": "937-387-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC SECURITY AND LOGISTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "CRANE-JACKSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "800-829-5461"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.