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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

419-647-4584.

Point of Service in Spencerville, OH · enumerated 2011 · authorized official Cathy Bates, Student.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750686770

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Registry record

Entity type Organization (Type 2)
Legal business name 419-647-4584.
Parent organization No
Practice address 102 S Broadway St, Spencerville, OH, 45887
Enumeration date Jan 23, 2011
Last updated in NPPES Jan 23, 2011

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations · License 788776765655 (OH) Primary

Authorized official

Name Cathy Bates
Title Student

Other identifiers

Identifier Type State Issuer
574184689203 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is 419-647-4584. located?
The practice location on file with NPPES is in Spencerville, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-01-23. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-23.