NPIMap

Organization Active NPI

Prime Healthcare Foundation - Coshocton LLC

  • Primary Care Clinic/Center
  • Wellsville, OH
National Provider Identifier
1912608373
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIME HEALTHCARE FOUNDATION - COSHOCTON LLC
Practice address
601 Main St
Wellsville, OH 43968-1662
Phone
(330) 362-4799
NPI assigned
Mar 13, 2023
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE FOUNDATION - COSHOCTON LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Andrew C Hibdon
Title
Manager, Rural Health
Phone
(530) 244-5400

Specialties & licenses 1

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

Addresses

Primary practice location

601 Main St
Wellsville, OH 43968-1662

Mailing address

601 Main St
Wellsville, OH 43968-1662
Phone (330) 362-4799

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Foundation - Coshocton LLC3 organizations share this tax ID, including this one
Part of
Prime Healthcare Foundation - Coshocton LLC

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": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1912608373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIN ST",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439681662",
            "telephone_number": "330-362-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439681662",
            "telephone_number": "330-362-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE FOUNDATION - COSHOCTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE FOUNDATION - COSHOCTON LLC",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "HIBDON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER, RURAL HEALTH",
        "authorized_official_telephone_number": "530-244-5400"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.