Holmes Co. Board of MRDD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

HOLMES CO. BOARD OF MRDD

Doing business as

HCTC Dental Clinic

Practice address

8001 Township Road 574
Holmesville, OH 44633-9751

Phone

(330) 674-8045

Fax

(330) 674-5182

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. F. Scott Brace

Title

Superintendent

Phone

(330) 674-8045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HCTC Dental Clinic Doing business as

Tax ID family

HCTC Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Holmes County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Holmesville, OH
  • NPI 1831227032
  NPD tax ID

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417018003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 TOWNSHIP ROAD 574",
            "city": "HOLMESVILLE",
            "state": "OH",
            "postal_code": "446339751",
            "telephone_number": "330-674-8045",
            "fax_number": "330-674-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 TOWNSHIP ROAD 574",
            "city": "HOLMESVILLE",
            "state": "OH",
            "postal_code": "446339751",
            "telephone_number": "330-674-8045",
            "fax_number": "330-674-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES CO. BOARD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "330-674-8045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2280679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCTC Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coveny Chiropractic Center, LLC
• Rachel Marie Coveny, D.C.
• Melissa Dawn Duff, PT
• Ella J Hilty
• Holmes County Board of MRDD
• Tammy Lynn Hostetler
• Kno-Ho-Co-Ashland Community Action Commission
• Lynn Hope Industries, Inc.
• Carrie Ann Morrison

• Public Health Dentistry in Holmesville, OH
• Providers in Holmesville, OH by specialty
• Public Health Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.