Organization Active NPI

Union County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Marysville, OH
National Provider Identifier
1790901734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UNION COUNTY BOARD OF MRDD
Practice address
1280 Charles LN
Marysville, OH 43040-9797
Phone
(937) 645-6733
Fax
(937) 642-8427
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheryl A Gugel
Title
Executive Assistant Fiscal
Phone
(937) 645-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

1280 Charles LN
Marysville, OH 43040-9797

Mailing address

1280 Charles LN
Marysville, OH 43040-9797
Phone (937) 645-6733

Other identifiers 1

IdentifierTypeStateIssuer
0899130MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Union County Health Dep2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1280 Charles Ln
Marysville, OH 43040
Phone (937) 578-6700

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790901734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CHARLES LN",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409797",
            "telephone_number": "937-645-6733",
            "fax_number": "937-642-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CHARLES LN",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409797",
            "telephone_number": "937-645-6733",
            "fax_number": "937-642-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY BOARD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUGEL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT FISCAL",
        "authorized_official_telephone_number": "937-645-6733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0899130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.