NPIMap

Organization Active NPI

Montgomery County Court House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
National Provider Identifier
1497817092
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MONTGOMERY COUNTY COURT HOUSE
Practice address
One Elizabeth Place
Dayton, OH 45408
Phone
(937) 461-5223
Fax
(937) 461-7010
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Mr. Jeffrey A Cooper, MS
Title
Health Commissioner
Phone
(937) 225-5700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

One Elizabeth Place
Dayton, OH 45408

Mailing address

117 S Main St
Fso - Second Floor
Dayton, OH 45422-2005
Phone (937) 225-4543

Other identifiers 1

IdentifierTypeStateIssuer
01400OtherOHADAMHS

Other names 1

  • Public Health-Dayton & Montgomery County - CADAS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County Board of Developmental Disabilities6 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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1497817092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "address_2": "FSO - SECOND FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454222005",
            "telephone_number": "937-225-4543",
            "fax_number": "937-496-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45408",
            "telephone_number": "937-461-5223",
            "fax_number": "937-461-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY COURT HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "937-225-5700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADAMHS",
            "identifier": "01400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health-Dayton & Montgomery County - CADAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.