NPIMap

Organization Active NPI

Community Action Program Corp of Washington-Morgan Counties, Ohio

  • Home Delivered Meals
  • Marietta, OH
National Provider Identifier
1902897176
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
COMMUNITY ACTION PROGRAM CORP OF WASHINGTON-MORGAN COUNTIES, OHIO
Doing business as
Family Health Service
Practice address
218 Putnam St
Marietta, OH 45750-3014
Phone
(740) 373-3745
Fax
(740) 373-6775
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Mr. David Edwin Brightbill
Title
Executive Director
Phone
(740) 373-3745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X OH
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

218 Putnam St
Marietta, OH 45750-3014

Mailing address

218 Putnam St
P O Box 144
Marietta, OH 45750-3014
Phone (740) 373-3745

Other practice location 1

696 Wayne St
Marietta, OH 45750-3265
Phone (740) 374-8501

Other identifiers 3

IdentifierTypeStateIssuer
0421001MedicaidOH
0395773MedicaidOH
0225849MedicaidOH

Other names 1

  • Family Health Service Doing business as

National Provider Directory

National Provider Directory

Locations

218 Putnam St
Marietta, OH 45750
Phone (740) 373-3745

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1902897176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PUTNAM ST",
            "address_2": "P O BOX 144",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503014",
            "telephone_number": "740-373-3745",
            "fax_number": "740-373-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 PUTNAM ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503014",
            "telephone_number": "740-373-3745",
            "fax_number": "740-373-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "696 Wayne St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503265",
            "country_code": "US",
            "telephone_number": "740-374-8501",
            "fax_number": "740-374-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ACTION PROGRAM CORP OF WASHINGTON-MORGAN COUNTIES, OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "BRIGHTBILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-373-3745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395773",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.