NPIMap

Organization Active NPI

Crooksville Family Clinic

  • Primary Care Clinic/Center
  • Crooksville, OH
National Provider Identifier
1891027843
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CROOKSVILLE FAMILY CLINIC
Practice address
712 China St
Crooksville, OH 43731-1124
Phone
(740) 982-6872
Fax
(740) 982-5551
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Barbara J Anders, CMM
Title
Business Administrator
Phone
(740) 982-6872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

712 China St
Crooksville, OH 43731-1124

Mailing address

712 China St
P.O. Box 159
Crooksville, OH 43731-1124
Phone (740) 982-6872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1891027843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CHINA ST",
            "address_2": "P.O. BOX 159",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437311124",
            "telephone_number": "740-982-6872",
            "fax_number": "740-982-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHINA ST",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437311124",
            "telephone_number": "740-982-6872",
            "fax_number": "740-982-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOKSVILLE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "740-982-6872",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.