County of Preble

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF PREBLE

Practice address

615 Hillcrest Dr
Eaton, OH 45320-8559

Phone

(937) 472-0087

Fax

(937) 456-6382

NPI assigned

Oct 11, 2006

Last updated

Jul 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Erik B. Balster

Title

Health Commissioner

Phone

(937) 472-0087

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Preble County General Health District Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Preble3 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.

• Preble County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Eaton, OH
  • NPI 1699891978
  NPD tax ID
• Preble County Juvenile Tasc

  • Case Management Agency
  • Eaton, OH
  • NPI 1023231586
  NPD tax ID

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1346338688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HILLCREST DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208559",
            "telephone_number": "937-472-0087",
            "fax_number": "937-456-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HILLCREST DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208559",
            "telephone_number": "937-472-0087",
            "fax_number": "937-456-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PREBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "BALSTER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "937-472-0087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980164",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preble County General Health District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Consilience Inc (Essence of Wellness)
• Consilience Inc (Essence of Wellness)
• Consilience Inc
• Timothy Cook
• Vanessa L Copper, NP
• Clifford Chiles Craddock II
• Stacey Lynn Creech, COTA/L
• David Crowe
• Angela Sue Cruze, LPN
• Jaime Lynn Cummins, PHARM D

• State or Local Public Health Clinic/Center in Eaton, OH
• Providers in Eaton, OH by specialty
• State or Local Public Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.