Organization Active NPI

Conneaut Valley Health Center Inc.

  • Rural Health Clinic/Center
  • Meadville, PA
National Provider Identifier
1366588774
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CONNEAUT VALLEY HEALTH CENTER INC.
Practice address
747 Terrace St
Meadville, PA 16335-1737
Phone
(814) 373-2976
Fax
(814) 333-7071
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Mr. Michael C Downing, FACHE, CMPE
Title
Cfo
Phone
(814) 373-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

747 Terrace St
Meadville, PA 16335-1737

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-2976

Other identifiers 2

IdentifierTypeStateIssuer
0007230030015MedicaidPA
CE7746OtherPARAILROAD MEDICARE

Other names 1

  • Meadville Community Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1366588774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-2976",
            "fax_number": "814-333-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 TERRACE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351737",
            "telephone_number": "814-373-2976",
            "fax_number": "814-333-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEAUT VALLEY HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-373-2449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE, CMPE"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007230030015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7746",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadville Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.