NPIMap

Organization Active NPI

City of Wooster

  • Clinical Medical Laboratory
  • Wooster, OH
National Provider Identifier
1467538116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CITY OF WOOSTER
Practice address
1761 Beall Ave
Wooster, OH 44691-2342
Phone
(330) 263-8100
Fax
(330) 263-8525
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristen Shoup
Title
Manager, PFS
Phone
(330) 263-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1761 Beall Ave
Wooster, OH 44691-2342

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8100

Other names 1

  • DBA Wooster Community Hospital Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0909139Wooster Community Hospital1761 Beall Avenue, Wooster, OH 44691AccreditationApr 4, 2028
36D0927859Wooster Community Hospital - Point of Care1761 Beall Avenue, Wooster, OH 44691Certificate of waiverApr 30, 2027
36D2110734Wooster Cancer Care1761 Beall Avenue, Out Patient Pav, Ste 1, Wooster, OH 44691Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
City of Wooster6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467538116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8100",
            "fax_number": "330-263-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8100",
            "fax_number": "330-263-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WOOSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOUP",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MANAGER, PFS",
        "authorized_official_telephone_number": "330-263-8288"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Wooster Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.