Organization Active NPI

Scioto County Board of Health

Doing business as Scioto County Health Department

  • Community Health Clinic/Center
  • Portsmouth, OH
National Provider Identifier
1548396138
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SCIOTO COUNTY BOARD OF HEALTH
Practice address
612 6TH St Suite D
Portsmouth, OH 45662
Phone
(740) 355-8358
Fax
(740) 354-8623
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Melissa Spears
Title
Administrator
Phone
(740) 355-8358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

612 6TH St Suite D
Portsmouth, OH 45662

Mailing address

612 6TH St Suite D
Portsmouth, OH 45662
Phone (740) 355-8358

Other identifiers 1

IdentifierTypeStateIssuer
0697036MedicaidOH

Other names 1

  • Scioto County Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220325000206 OH Part B Supplier - Mass Immunization (Roster Biller Only) 1759776925 Practice locations: Portsmouth, OH

National Provider Directory

National Provider Directory

Locations

612 6th St
Portsmouth, OH 45662

612 6th St
Ste D
Portsmouth, OH 45662
Phone (740) 354-3241

602 7th St
Rm 210
Portsmouth, OH 45662
Phone (740) 354-3241

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1548396138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 6TH ST SUITE D",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-355-8358",
            "fax_number": "740-354-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 6TH ST SUITE D",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-355-8358",
            "fax_number": "740-354-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIOTO COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-355-8358"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0697036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scioto County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scioto County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.