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Ohioguidestone

Organization Active NPI Community/Behavioral Health Agency · Berea, OH

NPI 1295096758 · NPPES record last updated Jun 1, 2021

Key facts

NPI
1295096758
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
OHIOGUIDESTONE
Practice address
202 E Bagley Rd
Berea, OH 44017-2058
Phone
(800) 234-2006
Fax
(440) 260-8305
NPI assigned
May 31, 2012
Organization subpart
No

Authorized official

Name
Margie Ziemski
Title
Credentialing Specialist
Phone
(440) 260-8327

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 19

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

Practitioners 381

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 381

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130308000507 OH Part B Supplier - Clinic/Group Practice 5597910935 Receives reassigned benefits from 208 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Philadelphia, OH; Lancaster, OH; Napoleon, OH; Medina, OH; Marion, OH; Lorain, OH; Bryan, OH; Oberlin, OH…

National Provider Directory

Tax ID family
Guidestone (20 organizations share this tax ID)

Locations

4579 Everhard Rd NW
Canton, OH 44718
Phone (330) 499-1926

3235 Prospect Ave E
Cleveland, OH 44115
Phone (216) 287-7439

515 E Main St
Fl 3B
Columbus, OH 43215
Phone (614) 252-0731

1624 Tiffin Ave
Ste D
Findlay, OH 45840
Phone (419) 422-7800

15644 Madison Ave
Ste 102
Lakewood, OH 44107
Phone (216) 521-8311

111 S Broad St
Ste 209
Lancaster, OH 43130
Phone (888) 522-9174

2173 N Ridge Rd E
Ste E
Lorain, OH 44055
Phone (440) 260-6100

1199 Delaware Ave
Ste 107
Marion, OH 43302
Phone (740) 361-2258

246 Northland Dr
Ste 120
Medina, OH 44256

600 Freedom Dr
Napoleon, OH 43545
Phone (419) 330-5116

138 N Fulton St
Wauseon, OH 43567
Phone (419) 335-3732

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

202 E Bagley Rd
Berea, OH 44017-2058

Mailing address

202 E Bagley Rd
Berea, OH 44017-2058
Phone (800) 234-2006

Other practice location 1

600 Freedom Dr
Napoleon, OH 43545-9038
Phone (440) 260-8300

Other practice location 2

735 Haskins Rd
Bowling Green, OH 43402-1638
Phone (440) 260-8300

Other practice location 3

1895 Oakwood Ave
Napoleon, OH 43545-9243
Phone (440) 260-8300

Other practice location 4

600 Freedom Dr
Napoleon, OH 43545-9038
Phone (440) 260-8300

Other practice location 5

201 E 2nd St
Defiance, OH 43512-2290
Phone (440) 260-8300

Other practice location 6

1832 Adams St
Toledo, OH 43604-4428
Phone (440) 260-8300

Other practice location 7

885 Commerce Dr
Perrysburg, OH 43551-5267
Phone (440) 260-8300

Other practice location 8

1624 Tiffin Ave Ste D
Findlay, OH 45840-6852
Phone (440) 260-8300

Other identifiers

IdentifierTypeStateIssuer
3139955MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2021.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1295096758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "800-234-2006",
            "fax_number": "440-260-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172058",
            "telephone_number": "800-234-2006",
            "fax_number": "440-260-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Napoleon",
            "state": "OH",
            "postal_code": "435459038",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Haskins Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434021638",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 Oakwood Ave",
            "address_purpose": "LOCATION",
            "city": "Napoleon",
            "state": "OH",
            "postal_code": "435459243",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Napoleon",
            "state": "OH",
            "postal_code": "435459038",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122290",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1832 Adams St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436044428",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515267",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 Tiffin Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458406852",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHIOGUIDESTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "ZIEMSKI",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "440-260-8327"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139955",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

All providers in Berea, OH · Community/Behavioral Health Agency in Ohio

Sources for this page

Verify at the official NPI Registry.