NPIMap

Organization Active NPI

Mercer County

Doing business as Mercer County Celina City Health Department

  • Public Health or Welfare Agency
  • Celina, OH
National Provider Identifier
1831234319
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
AM2295120 Issued in OH
Legal business name
MERCER COUNTY
Doing business as
Mercer County Celina City Health Department
Mercer County Health District
Practice address
220 W Livingston St
B152
Celina, OH 45822-1698
Phone
(419) 586-3251
Fax
(419) 586-2583
NPI assigned
Feb 21, 2007
Last updated
May 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Mr. Jason Menchnofer
Title
Interim Administrator
Phone
(419) 586-3251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X AM2295120 OH Primary

Addresses

Primary practice location

220 W Livingston St
B152
Celina, OH 45822-1698

Mailing address

220 W Livingston St
B152
Celina, OH 45822-1698
Phone (419) 586-3251

Other identifiers 1

IdentifierTypeStateIssuer
0697214MedicaidOH

Other names 2

  • Mercer County Celina City Health Department Doing business as
  • Mercer County Health District Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000006 OH Part B Supplier - Public Health/Welfare Agency 6406804541 Practice locations: Celina, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mercer County Home5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

220 W Livingston St
Ste B152
Celina, OH 45822
Phone (419) 586-3251

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1831234319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W LIVINGSTON ST",
            "address_2": "B152",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221698",
            "telephone_number": "419-586-3251",
            "fax_number": "419-586-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W LIVINGSTON ST",
            "address_2": "B152",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221698",
            "telephone_number": "419-586-3251",
            "fax_number": "419-586-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "MENCHNOFER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "INTERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "419-586-3251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "AM2295120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0697214",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer County Celina City Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercer County Health District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.