Affinity Healthworks LLC
Organization Active NPI Community/Behavioral Health Agency · Bucyrus, OH
NPI 1366879397 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1366879397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- S 1302916 (OH)
- Legal business name
- AFFINITY HEALTHWORKS LLC
- Practice address
- 114 S Walnut St
Bucyrus, OH 44820-2324 - Phone
- (419) 562-2400
- Fax
- (419) 617-3771
- NPI assigned
- Oct 4, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Barbara A Wirebaugh, MSW, LISW-S
- Title
- Owner/Director
- Phone
- (419) 562-2400
Other NPIs on the same Medicare enrollment 1
Practitioners 14
-
David C Black, D.C.
-
Nicole C. Blamer, LSW
-
Amy Lou Eastman, DC
-
Stephanie Michelle Grabiel, LICDC
-
William McComb, LSW, LCDC III
-
Peggy L. Reeves, MSW, LSW
-
Tom Sovacool, MSW
-
Lisa M Stalter, LSW
-
Kelsey Verdi, LCDCII
-
Holly Kay Weir, LSW
-
Daniel L Wirebaugh, CDCA
-
Micah Daniel Wirebaugh, CDCA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090415000263 | OH | Part B Supplier - Clinic/Group Practice | 5890842553 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bucyrus, OH; Galion, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | S 1302916 | OH | Yes |
Addresses
Primary practice location
114 S Walnut St
Bucyrus, OH 44820-2324
Mailing address
PO Box 722
Bucyrus, OH 44820-0722
Phone (419) 562-2400
Other providers in Bucyrus, OH
- 7-J'S, Inc.
- Roman Achberger
- Danielle Nichole Adkins
- Affinity Healthworks, LLC
- Affinity Healthworks, LLC
- Natalie Brooke Alt
- Altercare of Bucyrus Center for Rehabilitation & Nursing Care, Inc.
- American Pain & Anesthesia, LLC
All providers in Bucyrus, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.