Active NPI
Union County Board of MRDD
- Developmentally Disabled Services Day Training Agency
- Marysville, OH
National Provider Identifier
1790901734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0899130 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Union County Health Dep
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Union County Health Department
- Community Health Clinic/Center
- Marysville, OH
- NPI 1104875541
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.
-
- Family Nurse Practitioner
- Marysville, OH
- NPI 1184078677
-
- Home Health Aide
- Marysville, OH
- NPI 1568203164
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.