Washington County Free Clinic Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WASHINGTON COUNTY FREE CLINIC INC

Practice address

208 3Rd St
Marietta, OH 45750-3001

Phone

(740) 376-0261

Fax

(740) 376-7160

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Robin Bozian

Title

Board President

Phone

(740) 376-0261

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1821402348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500804",
            "telephone_number": "740-376-0261",
            "fax_number": "740-376-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503001",
            "telephone_number": "740-376-0261",
            "fax_number": "740-376-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY FREE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "BOZIAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "740-376-0261"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "36D2003526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wasco, Inc.
• Phillip Gerald Washburn, R.N.
• Washington Co
• Washington County Board of Developmental Dissabilities
• Washington County Board of MRDD
• Washington County Recovery Alternatives
• Jeremy Scott Watkins, NURSE ANESTHETIST
• William Brian Watkins, PTA
• Kaylee Rebecca-Ann Weihl, CDCAP
• Ainsley Virginia Weisman, P.A.-C

• Health Service Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.