Active NPI
Adams County Hospital
- Primary Care Clinic/Center
- Winchester, OH
National Provider Identifier
1285807115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 35083494
- Legal business name
- ADAMS COUNTY HOSPITAL
- Practice address
- 19262 State Route 136
Winchester, OH 45697 - Phone
- (937) 695-0748
- NPI assigned
- Apr 11, 2008
- Organization subpart
- Yes
- Parent organization
- ADAMS COUNTY REGIONAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pete R. Dagenbach, CFO
- Title
- Cfo
- Phone
- (937) 386-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 35083494 | OH | Primary |
Addresses
Primary practice location
19262 State Route 136
Winchester, OH 45697
Mailing address
19262 State Route 136
Winchester, OH 45697
Other names 1
- Winchester Family Medicine
National Provider Directory
National Provider Directory- Part of
- Adams County Hosp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1285807115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19262 STATE ROUTE 136",
"city": "WINCHESTER",
"state": "OH",
"postal_code": "45697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19262 STATE ROUTE 136",
"city": "WINCHESTER",
"state": "OH",
"postal_code": "45697",
"telephone_number": "937-695-0748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS COUNTY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADAMS COUNTY REGIONAL MEDICAL CENTER",
"enumeration_date": "2008-04-11",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "DAGENBACH",
"authorized_official_first_name": "PETE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "937-386-3400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": "35083494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Winchester Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.