Organization Active NPI

Belmont County Park Health Center

  • Skilled Nursing Facility
  • Saint Clairsville, OH
National Provider Identifier
1255319208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BELMONT COUNTY PARK HEALTH CENTER
Practice address
100 Pine Ave
Saint Clairsville, OH 43950-9738
Phone
(740) 695-4925
Fax
(740) 695-4915
NPI assigned
Jan 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ryan K. Erdos
Title
Administrator
Phone
(740) 695-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

100 Pine Ave
Saint Clairsville, OH 43950-9738

Mailing address

100 Pine Ave
Saint Clairsville, OH 43950-9738
Phone (740) 695-4925

Other identifiers 1

IdentifierTypeStateIssuer
0899989MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255319208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINE AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509738",
            "telephone_number": "740-695-4925",
            "fax_number": "740-695-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509738",
            "telephone_number": "740-695-4925",
            "fax_number": "740-695-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT COUNTY PARK HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERDOS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-695-4925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0899989",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

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.

Verify at the official NPI Registry.