NPIMap

Organization Active NPI

Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
National Provider Identifier
1346501814
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Mandy Jackson
Title
Billing Supervisor
Phone
(440) 260-8328

Specialties & licenses 1

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

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 identifiers 1

IdentifierTypeStateIssuer
2141426MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Guidestone20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1346501814",
    "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": [],
    "basic": {
        "organization_name": "OHIOGUIDESTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "440-260-8328"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141426",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.