Active NPI
Fairfield Co. Board of MRDD
- Developmentally Disabled Services Day Training Agency
- Lancaster, OH
National Provider Identifier
1235278318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- FAIRFIELD CO. BOARD OF MRDD
- Practice address
- 795 College Ave
Lancaster, OH 43130-1082 - Phone
- (740) 687-7244
- Fax
- (740) 687-7250
- NPI assigned
- Feb 6, 2007
- 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
- Mr. John Pekar
- Title
- Superintendent
- Phone
- (740) 687-7244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | OH | Primary |
Addresses
Primary practice location
795 College Ave
Lancaster, OH 43130-1082
Mailing address
795 College Ave
Lancaster, OH 43130-1082
Phone (740) 687-7244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0776076 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Fairfield Cnty BRD of H
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Lancaster, OH
- NPI 1528033297
-
- Prison Health Clinic/Center
- Lancaster, OH
- NPI 1568678571
Locations
795 College Ave
Lancaster, OH 43130
Phone (740) 652-7220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235278318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 COLLEGE AVE",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431301082",
"telephone_number": "740-687-7244",
"fax_number": "740-687-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 COLLEGE AVE",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431301082",
"telephone_number": "740-687-7244",
"fax_number": "740-687-7250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRFIELD CO. BOARD OF MRDD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEKAR",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "740-687-7244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0776076",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
- Beth Ann Fairbanks
- Fairfield Ambulatory Surgery Center, LTD
- Fairfield Anesthesia Associates Inc
- Fairfield Center for Disabilities & Cerebral Palsy, Inc.
- Fairfield Center for Disabilities & Cerebral Palsy, Inc.
- Fairfield Comminity Health Center
- Fairfield Comminity Health Center
- Fairfield Community Health Center
- Fairfield Community Health Center
- Fairfield Community Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.