County of Clinton

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF CLINTON

Practice address

111 S Nelson Ave Ste 1
Wilmington, OH 45177-2067

Phone

(937) 382-7221

Fax

(937) 382-7027

NPI assigned

Feb 22, 2007

Last updated

Jul 21, 2022By 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

Dr. Terry K Holten, M.D.NPI 1548386329

Title

Medical Director

Phone

(937) 382-7221

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Clinton County Health D2 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.

• Clinton County Board of MRDD

  • Private Vehicle
  • Wilmington, OH
  • NPI 1851428049
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry K Holten, M.D.

  • Pediatrics Physician
  • Wilmington, OH
  • NPI 1548386329
  Authorized official Same address or phone
• Richard Don Clark, MD

  • Family Medicine Physician
  • Marietta, OH
  • NPI 1053316364
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477688380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S NELSON AVE STE 1",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772067",
            "telephone_number": "937-382-7221",
            "fax_number": "937-382-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S NELSON AVE STE 1",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772067",
            "telephone_number": "937-382-7221",
            "fax_number": "937-382-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLTEN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-382-7221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274439",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566696",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Constant
• Samantha Marie Constant
• Dawn Cooksey
• Gregory Coriell
• Sara Louise Corona
• Jacob Matthew Courtney
• Daniel B Craft
• Kalub Maliki Dailey
• Kristen Dallas
• Jessie E Damron

• Public Health or Welfare Agency in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.