Active NPI
Activate Healthcare-Ohio
- Health Service Clinic/Center
- Erlanger, KY
National Provider Identifier
1659891760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ACTIVATE HEALTHCARE-OHIO
- Practice address
- 600 Rodeo Dr
Erlanger, KY 41018-1279 - Phone
- (859) 342-0901
- Fax
- (859) 342-0919
- NPI assigned
- Jun 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Geihsler
- Title
- Principal
- Phone
- (773) 704-7002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
600 Rodeo Dr
Erlanger, KY 41018-1279
Mailing address
2157 N Damen Ave
Chicago, IL 60647-6916
Phone (773) 967-3144
Other names 1
- Activate Healthcare-Local 392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1659891760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476916",
"telephone_number": "773-967-3144",
"fax_number": "872-808-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RODEO DR",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410181279",
"telephone_number": "859-342-0901",
"fax_number": "859-342-0919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVATE HEALTHCARE-OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-21",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "GEIHSLER",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "773-704-7002"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Activate Healthcare-Local 392",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Erlanger, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.