Fulton County Board of Developmental Disabilities

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FULTON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

Practice address

1210 N Ottokee St
Wauseon, OH 43567-1906

Phone

(419) 337-4575

Fax

(419) 335-3082

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Friess

Title

Superintendent

Phone

(419) 337-4575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1831791763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N OTTOKEE ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671906",
            "telephone_number": "419-337-4575",
            "fax_number": "419-335-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N OTTOKEE ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671906",
            "telephone_number": "419-337-4575",
            "fax_number": "419-335-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "FRIESS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "419-337-4575"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Fry
• Fulton County
• Fulton County (Fulton County Health Department)
• Fulton County (Fulton County Health Department)
• Fulton County Board of DD
• Fulton County Health Center (Fulton Manor Nursing and Rehabilitation Center)
• Fulton County Health Center
• Fulton County Health Center (FulCare Behavior Health)
• Angela Marie Gable, RPH, CDE
• Gina Galbraith

• Case Management Agency in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.