NPIMap

Organization Active NPI

Adena Health System

  • Urgent Care Clinic/Center
  • Waverly, OH
National Provider Identifier
1710164686
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADENA HEALTH SYSTEM
Practice address
12340 State Route 104
Waverly, OH 45690-8968
Phone
(740) 941-5100
Fax
(740) 941-5179
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Robert M Rosenberger
Title
Cfo
Phone
(740) 779-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

12340 State Route 104
Waverly, OH 45690-8968

Mailing address

272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-4460

Other names 1

  • Adena Urgent Care - Waverly Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parks OBGYN Associates42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1710164686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4460",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 STATE ROUTE 104",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456908968",
            "telephone_number": "740-941-5100",
            "fax_number": "740-941-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSENBERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-779-7582"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adena Urgent Care - Waverly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.