NPIMap

Organization Active NPI

Sandusky Artisans Cooperative

  • Community/Behavioral Health Agency
  • Sandusky, OH
National Provider Identifier
1467072025
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANDUSKY ARTISANS COOPERATIVE
Practice address
138 E Market St
Sandusky, OH 44870-2506
Phone
(419) 621-9377
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Mr. Joseph J Supina Sr.
Title
Executive Director
Phone
(419) 621-9377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

138 E Market St
Sandusky, OH 44870-2506

Mailing address

138 E Market St
Sandusky, OH 44870-2506
Phone (419) 621-9377

National Provider Directory

National Provider Directory

Locations

138 E Market St
Sandusky, OH 44870
Phone (419) 621-9377

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1467072025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E MARKET ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702506",
            "telephone_number": "419-621-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E MARKET ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702506",
            "telephone_number": "419-621-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY ARTISANS COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "SUPINA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-621-9377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.