Jackson-Vinton Community Action, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACKSON-VINTON COMMUNITY ACTION, INC.

Practice address

118 S New York Ave
Wellston, OH 45692-1540

Phone

(740) 384-3722

Fax

(740) 384-5405

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Thiessen

Title

Executive Director

Phone

(740) 384-3722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Helton, RDH

  • Dental Hygienist
  • Wellston, OH
  • NPI 1912396581
  NPD (past)
• Tracey Taylor, RDH

  • Dental Hygienist
  • Wellston, OH
  • NPI 1285037788
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831134501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S NEW YORK AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921540",
            "telephone_number": "740-384-3722",
            "fax_number": "740-384-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S NEW YORK AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921540",
            "telephone_number": "740-384-3722",
            "fax_number": "740-384-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON-VINTON COMMUNITY ACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIESSEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-384-3722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0319113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Lynn Hutchins, COTA/L
• J. Edgar Evans O.D., Inc.
• Jackson Cbmrdd
• Jackson County Health Facilities Inc.
• Jackson County Health Facilities Inc.
• Lauryn Ruth Johnson
• Douglas R Jones, D.O.
• Robert Matthew Justus, RPH
• Adrianna Ruth Kearns
• Leann Marie Kight, R.D., L.D.

• Family Medicine Physician in Wellston, OH
• Providers in Wellston, OH by specialty
• Family Medicine Physician in Ohio

• 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.