Defiance County Board of DD

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DEFIANCE COUNTY BOARD OF DD

Practice address

195 Island Park Ave
Defiance, OH 43512-2561

Phone

(419) 782-6621

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Bret Mack

Title

Business Manager

Phone

(419) 782-6621

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Board of Commissioners of Defiance County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Board of Commissioners of Defiance County

  • Private Vehicle
  • Defiance, OH
  • NPI 1134412042
  NPD tax ID

Locations

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1851849442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ISLAND PARK AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122561",
            "telephone_number": "419-782-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 ISLAND PARK AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122561",
            "telephone_number": "419-782-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE COUNTY BOARD OF DD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "419-782-6621"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2556416",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2568458",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0790694",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Charles Deal, PHD
• Deep Roots Wellness, LLC
• Defiance Al, LLC
• Defiance Chiropractic Center, Inc.
• Defiance City School District
• Defiance County General Health District
• Defiance Dialysis Center, LTD.
• Defiance Healthcare and Rehabilitation Center LLC
• Defiance Hearing Aid Center, Inc.
• Defiance Hospital

• Case Management Agency in Defiance, OH
• Providers in Defiance, 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 2, 2016; 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.