NPIMap

Organization Active NPI

Mansfield Umadaop Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, OH
National Provider Identifier
1346265014
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MANSFIELD UMADAOP INC
Practice address
400 Bowman Street
Mansfield, OH 44901
Phone
(419) 525-3525
Fax
(419) 525-3538
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Mr. Dennis A. Baker
Title
Executive Directore
Phone
(419) 525-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

400 Bowman Street
Mansfield, OH 44901

Mailing address

PO Box 1316
400 Bowman Street
Mansfield, OH 44901
Phone (419) 525-3525

Other names 1

  • Mansfield Urban Minority Alcoholism & Drug Abuse Other name

National Provider Directory

National Provider Directory
Tax ID family
Mansfield Umadaop Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1346265014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "address_2": "400 BOWMAN STREET",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44901",
            "telephone_number": "419-525-3525",
            "fax_number": "419-525-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOWMAN STREET",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44901",
            "telephone_number": "419-525-3525",
            "fax_number": "419-525-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD UMADAOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTORE",
        "authorized_official_telephone_number": "419-525-3531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Urban Minority Alcoholism & Drug Abuse",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.