NPIMap

Organization Active NPI

Complete Care

  • Student Health Clinic/Center
  • Lorain, OH
National Provider Identifier
1265898134
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
401114940710 Issued in OH
Legal business name
COMPLETE CARE
Practice address
1310 S Danley SQ
Lorain, OH 44052-2259
Phone
(440) 506-4233
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Derekia MahoneNPI 1780041764
Title
Ceo
Phone
(440) 506-4233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 401114940710 OH Primary

Addresses

Primary practice location

1310 S Danley SQ
Lorain, OH 44052-2259

Mailing address

1310 S Danley SQ
Lorain, OH 44052-2259
Phone (440) 506-4233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1265898134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S DANLEY SQ",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440522259",
            "telephone_number": "440-506-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S DANLEY SQ",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440522259",
            "telephone_number": "440-506-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "MAHONE",
        "authorized_official_first_name": "DEREKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-506-4233"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OH",
            "license": "401114940710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.