PBHC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

PN 100107 Issued in OH

Legal business name

PBHC

Practice address

203 N Main St
New Lexington, OH 43764-1264

Phone

(740) 342-1991

Fax

(740) 342-2914

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candy Jane Dingess, LPN

Title

Nurse

Phone

(740) 343-0733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1437692068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641264",
            "telephone_number": "740-342-1991",
            "fax_number": "740-342-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641264",
            "telephone_number": "740-342-1991",
            "fax_number": "740-342-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "DINGESS",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "740-343-0733",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "PN 100107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.