NPIMap

Individual provider Active NPI

Rachel Margaret Church, MD

  • Family Medicine Physician
  • Urbana, OH
National Provider Identifier
1396372512
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.148488 Issued in OH
Practice address
605 Miami St Ste 100
Urbana, OH 43078-1986
Phone
(937) 599-1411
Fax
(937) 599-4128
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.148488 OH Primary

Addresses

Primary practice location

605 Miami St Ste 100
Urbana, OH 43078-1986

Mailing address

212 E Columbus Ave
Bellefontaine, OH 43311-2033
Phone (937) 599-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918001400 OH Practitioner - Family Practice 5496119992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4879 US RT 68
West Liberty, OH 43357-9525
Phone (937) 599-1411

605 Miami St
Suite 100
Urbana, OH 43078-1907
Phone (937) 599-1411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health & Wellness Partners of Logan County CurrentSince Aug 1, 2023 Accepting new patients
Community Health & Wellness Partners of Logan County Current Accepting new patients
Community Health & Wellness Partners of Logan County CurrentSince Aug 1, 2023 Accepting new patients
Pathology Laboratories, Inc. PastSince Dec 10, 2023 Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

212 E Columbus Ave
Ste 1
Bellefontaine, OH 43311
Phone (937) 599-1511

4560 County Road 26
Ste 2
Bellefontaine, OH 43311

8920 County Road 91
Ste 2
Lewistown, OH 43333

8200 State Route 366
Ste 1
Russells Pt, OH 43348
Phone (937) 633-0071

605 Miami St
Ste 100
Urbana, OH 43078

7208 US Highway 68 N
Ste 2
West Liberty, OH 43357

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1396372512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112033",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MIAMI ST STE 100",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781986",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "RACHEL",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.148488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

Verify at the official NPI Registry.