NPIMap

Organization Active NPI

Baldwin Wallace University

  • Student Health Clinic/Center
  • Berea, OH
National Provider Identifier
1730157272
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
BALDWIN WALLACE UNIVERSITY
Practice address
207 Beech St
Berea, OH 44017-2088
Phone
(440) 826-2178
Fax
(440) 826-3382
NPI assigned
Mar 10, 2006
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Mr. Thomas J Lee
Title
Vice President Finance and Admin.
Phone
(440) 826-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

207 Beech St
Berea, OH 44017-2088

Mailing address

275 Eastland Rd
Berea, OH 44017-2088
Phone (440) 826-2178

Other names 1

  • Baldwin Wallace University Health Center Other name

National Provider Directory

National Provider Directory

Locations

275 Eastland Rd
Berea, OH 44017
Phone (440) 826-2221

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1730157272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 EASTLAND RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172088",
            "telephone_number": "440-826-2178",
            "fax_number": "440-826-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BEECH ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172088",
            "telephone_number": "440-826-2178",
            "fax_number": "440-826-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN WALLACE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE AND ADMIN.",
        "authorized_official_telephone_number": "440-826-8101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Wallace University Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.