NPIMap

Organization Active NPI

Valleybrook Clinic, Inc.

  • Clinic/Center
  • Toledo, OH
National Provider Identifier
1659570406
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
261Q00000X Issued in OH
Legal business name
VALLEYBROOK CLINIC, INC.
Practice address
2526 N Reynolds Rd
Toledo, OH 43615-2820
Phone
(419) 537-1485
Fax
(419) 531-8518
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Karyl L McAninch
Title
Office Manager
Phone
(419) 537-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 261Q00000X OH Primary

Addresses

Primary practice location

2526 N Reynolds Rd
Toledo, OH 43615-2820

Mailing address

2526 N Reynolds Rd
Toledo, OH 43615-2820
Phone (419) 537-1485

Other identifiers 1

IdentifierTypeStateIssuer
210855MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1659570406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152820",
            "telephone_number": "419-537-1485",
            "fax_number": "419-531-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152820",
            "telephone_number": "419-537-1485",
            "fax_number": "419-531-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYBROOK CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "MCANINCH",
        "authorized_official_first_name": "KARYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-537-1620"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.