Organization Active NPI

Outreach Care Group, Inc

  • Emergency Medicine Physician
  • Ellwood City, PA
National Provider Identifier
1700167236
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
OUTREACH CARE GROUP, INC
Practice address
724 Pershing St
Ellwood City, PA 16117-1474
Phone
(724) 752-6819
Fax
(724) 752-0966
NPI assigned
Aug 29, 2011
Organization subpart
Yes
Parent organization
OUTREACH CARE GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Chris Little
Title
Cfo
Phone
(724) 752-6819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

724 Pershing St
Ellwood City, PA 16117-1474

Mailing address

724 Pershing St
Ellwood City, PA 16117-1474
Phone (724) 752-6819

National Provider Directory

National Provider Directory
Part of
Outreach Care Group Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1700167236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-752-6819",
            "fax_number": "724-752-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-752-6819",
            "fax_number": "724-752-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH CARE GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTREACH CARE GROUP, INC",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-752-6819"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.