NPIMap

Organization Active NPI

Midwest Health Services Inc.

  • Preferred Provider Organization
  • Massillon, OH
National Provider Identifier
1285864751
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
7610713 Issued in OH
Legal business name
MIDWEST HEALTH SERVICES INC.
Practice address
1608 Forest Ave SE
Massillon, OH 44646-8330
Phone
(330) 832-2797
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mr. Jospeh Knetzer
Title
Owner
Phone
(330) 832-9582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 7610713 OH Primary

Addresses

Primary practice location

1608 Forest Ave SE
Massillon, OH 44646-8330

Mailing address

11 Lincoln Way W
Ste 5a
Massillon, OH 44647-6585
Phone (330) 832-9582

Other identifiers 1

IdentifierTypeStateIssuer
2940483OtherOHMEDICAID VENDOR NUMBER

Other names 1

  • Midwest Health Services Home 2 Other name

National Provider Directory

National Provider Directory
Tax ID family
Midwest Health Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1285864751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LINCOLN WAY W",
            "address_2": "STE 5A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476585",
            "telephone_number": "330-832-9582",
            "fax_number": "330-833-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 FOREST AVE SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468330",
            "telephone_number": "330-832-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "KNETZER",
        "authorized_official_first_name": "JOSPEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-832-9582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "7610713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VENDOR NUMBER",
            "identifier": "2940483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Health Services Home 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.