NPIMap

Organization Active NPI

Adcare Health Systems, Inc.

Doing business as The Pavilion Care Center - Laboratory

  • Clinical Medical Laboratory
  • Sidney, OH
National Provider Identifier
1912167644
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0718519 Issued in OH
Legal business name
ADCARE HEALTH SYSTEMS, INC.
Doing business as
The Pavilion Care Center - Laboratory
Practice address
705 Fulton St
Sidney, OH 45365-3203
Phone
(937) 492-9591
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Gary Wade
Title
President/Ceo
Phone
(937) 964-8974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0718519 OH Primary

Addresses

Primary practice location

705 Fulton St
Sidney, OH 45365-3203

Mailing address

705 Fulton St
Sidney, OH 45365-3203
Phone (937) 492-9591

Other names 1

  • The Pavilion Care Center - Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adcare Health Systems Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1912167644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 FULTON ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653203",
            "telephone_number": "937-492-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 FULTON ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653203",
            "telephone_number": "937-492-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADCARE HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-964-8974"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0718519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pavilion Care Center - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.