Fauster Cameron Inc., Dba Defiance Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FAUSTER CAMERON INC., DBA DEFIANCE CLINIC

Practice address

1426 N. Scott St
Napoleon, OH 43545-1026

Phone

(419) 599-5500

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By 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

Mr. Chad L. Peter

Title

Ceo

Phone

(419) 784-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Napoleon Clinic Other name

Tax ID family

Fauster Cameron Inc Dba Defiance Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Fauster Cameron Inc., Dba Defiance Clinic

  • Durable Medical Equipment & Medical Supplies
  • Defiance, OH
  • NPI 1588643530
  NPD tax ID
• Fauster Cameron Inc., Dba Defiance Clinic

  • Multi-Specialty Clinic/Center
  • Continental, OH
  • NPI 1659573046
  NPD tax ID

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619179207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 N. SCOTT ST",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451026",
            "telephone_number": "419-599-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 N. SCOTT ST",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451026",
            "telephone_number": "419-599-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTER CAMERON INC., DBA DEFIANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-784-1414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Napoleon Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aimee Everly, LPN
• Everside Health, LLC
• Margaret Jane Fackler
• Family Service of Northwest Ohio (Comprehensive Crisis Care)
• Family Service of Northwest Ohio (Comprehensive Crisis Care)
• Crystal Ann Feeney, LSW
• Nicole Renee Fielder, LPN
• Filling Memorial Home of Mercy
• Filling Memorial Home of Mercy
• Elizabeth A Finney

• Multi-Specialty Clinic/Center in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.