Organization Active NPI

Fairfield County Combined General Health District

  • Primary Care Clinic/Center
  • Lancaster, OH
National Provider Identifier
1629218763
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAIRFIELD COUNTY COMBINED GENERAL HEALTH DISTRICT
Practice address
1155 E Main St
Lancaster, OH 43130-4056
Phone
(740) 689-6758
Fax
(740) 689-6759
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Rich Varney
Title
Director of Operations
Phone
(740) 653-4489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1155 E Main St
Lancaster, OH 43130-4056

Mailing address

1587 Granville Pike
Lancaster, OH 43130-1038
Phone (740) 653-4489

Other identifiers 1

IdentifierTypeStateIssuer
2986041MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Fairfield County General Health District2 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.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1629218763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301038",
            "telephone_number": "740-653-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-689-6758",
            "fax_number": "740-689-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY COMBINED GENERAL HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "740-653-4489"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2986041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.