Organization Active NPI

Wayne County Health Department

  • Public Health or Welfare Agency
  • Wooster, OH
National Provider Identifier
1629079991
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
02-0290050 Issued in OH
Legal business name
WAYNE COUNTY HEALTH DEPARTMENT
Practice address
203 S Walnut St
Wooster, OH 44691-4797
Phone
(330) 264-9590
Fax
(330) 262-2538
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Mr. Gregory L. Halley, M.D., M.B.A.
Title
Health Commissioner
Phone
(330) 264-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 02-0290050 OH Primary

Addresses

Primary practice location

203 S Walnut St
Wooster, OH 44691-4797

Mailing address

203 S Walnut St
Wooster, OH 44691-4797
Phone (330) 264-9590

Other identifiers 3

IdentifierTypeStateIssuer
FV95231OtherOHMEDICARE ADVANTAGE
0515035MedicaidOH
600001994OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

244 W South St
Wooster, OH 44691

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1629079991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S WALNUT ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914797",
            "telephone_number": "330-264-9590",
            "fax_number": "330-262-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WALNUT ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914797",
            "telephone_number": "330-264-9590",
            "fax_number": "330-262-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "HALLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "330-264-9590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "02-0290050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "FV95231",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515035",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "600001994",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2010; 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.