Organization Active NPI

Activate Healthcare-Ohio

  • Health Service Clinic/Center
  • Erlanger, KY
National Provider Identifier
1659891760
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Jun 29, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.