Matco Industries

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MATCO INDUSTRIES

Practice address

204 Maple St
London, OH 43140-1490

Phone

(740) 852-7054

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Van A Viney

Title

Ceo

Phone

(740) 852-7054

Specialties & licenses 1

Addresses

Other names 1

• MATCO Services Doing business as

Locations

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1972388783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MAPLE ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401490",
            "telephone_number": "740-852-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MAPLE ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401490",
            "telephone_number": "740-852-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCO INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "VINEY",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-852-7054"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATCO Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam G. Manko, MD
• Tiffany Rachelle Manus, REGISTERED NURSE
• Mark a. Coate M.D. General Surgery Inc.
• Mark M. Lima, D.D.S.
• Ryan Anthony Martin
• Daniel C Maust, MED LPCC-S
• Anthony R Mayer
• Cora Mayfield, MS
• Rachel McClure, COTA/L
• Jessica McCormick

• Developmental Disabilities Clinic/Center in London, OH
• Providers in London, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.