NPIMap

Organization Active NPI

Child Health Services of Portage County

  • State or Local Public Health Clinic/Center
  • Ravenna, OH
National Provider Identifier
1942397591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
0453049 Issued in OH
Legal business name
CHILD HEALTH SERVICES OF PORTAGE COUNTY
Practice address
449 S Meridian St
Ravenna, OH 44266-2914
Phone
(330) 297-5437
Fax
(330) 297-4556
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ruth Carnes
Title
Director
Phone
(330) 297-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 0453049 OH Primary

Addresses

Primary practice location

449 S Meridian St
Ravenna, OH 44266-2914

Mailing address

449 S Meridian St
Ravenna, OH 44266-2914
Phone (330) 297-5437

Other identifiers 1

IdentifierTypeStateIssuer
0453049MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Portage County Auditor3 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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942397591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 S MERIDIAN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662914",
            "telephone_number": "330-297-5437",
            "fax_number": "330-297-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S MERIDIAN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662914",
            "telephone_number": "330-297-5437",
            "fax_number": "330-297-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD HEALTH SERVICES OF PORTAGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARNES",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-297-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "OH",
            "license": "0453049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.