OrganizationActive
419-647-4584.
NPI 1750686770 · Point of Service · Spencerville, OH
419-647-4584. is a Point of Service organization in Spencerville, OH (NPI 1750686770).
Provider details
- NPI number
- 1750686770
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Parent organization
- No
- Organization subpart
- Yes
- Authorized official
- Cathy Bates, Student(419) 647-9999
- License
- 788776765655 (OH)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 S Broadway St
Spencerville, OH 45887-1267
Phone: (614) 582-9253
Street-level locationGet directions
Mailing address
102 S Broadway St
Spencerville, OH 45887-1267
Registry dates
- Enumerated
- 2011-01-23
- Last updated
- 2011-01-23
Frequently asked questions
- What is 419-647-4584.'s NPI number?
- 419-647-4584.'s National Provider Identifier (NPI) is 1750686770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 419-647-4584.?
- 419-647-4584. is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is 419-647-4584. located?
- 419-647-4584.'s practice location on file with NPPES is 102 S Broadway St, Spencerville, OH 45887-1267.
- What is 419-647-4584.'s phone number?
- The practice phone number listed in the NPPES registry for 419-647-4584. is (614) 582-9253.
- Who is the authorized official for 419-647-4584.?
- The authorized official listed on 419-647-4584.'s NPPES record is Cathy Bates, Student. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 419-647-4584.'s NPI active?
- Yes — 419-647-4584.'s NPI (1750686770) is active in the NPPES registry as of the last update on 2011-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.