RURAL HEALTH CLINIC OF ASHTABULA
NPI 1134905565
Clinic/Center - Rural Health in Ashtabula, OH

Active since September 01, 2023CLIA 36D2289738 · Waiver
524 W 24TH ST, ASHTABULA, OH 44004(440) 997-6915 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Sep 1, 2023 (2 updates tracked since 2023).

About Rural Health Clinic Of Ashtabula NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RURAL HEALTH CLINIC OF ASHTABULA (NPI 1134905565) is a healthcare organization registered as a rural health in Ashtabula, Ohio and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Olivia J Topel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1134905565
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMILLCREEK MANOR
Location Address524 W 24TH STAshtabula, OH 44004-3423
Mailing Address5535 Peach StErie, PA 16509-2603 · (814) 881-5234
Organization SubpartNo
Authorized OfficialOlivia J TopelCfo · (814) 881-5234
Enumeration DateSeptember 1, 2023
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1134905565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
524 W 24TH ST, Ashtabula, OH 44004

Other Names 1

Doing Business AsRural Health Clinic Of Ashtabula

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2289738

Rural Health Clinic Of Ashtabula · Ashtabula, OH
Active · expires Sep 13, 2027
CLIA Number36D2289738
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorDr. James Y. Lin
Laboratory Phone(440) 496-6500
Laboratory LocationRural Health Clinic Of Ashtabula524 W 24th St, Ashtabula, OH 44004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
524 W 24TH ST
ASHTABULA, OH 44004
Clinic/Center (Rural Health)
524 W 24TH ST
ASHTABULA, OH 44004
Physician Assistant
524 W 24TH ST
ASHTABULA, OH 44004
Clinic/Center
524 W 24TH ST
ASHTABULA, OH 44004
Obstetrics & Gynecology
524 W 24TH ST
ASHTABULA, OH 44004
Obstetrics & Gynecology
524 W 24TH ST
ASHTABULA, OH 44004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millcreek Manor's NPI number?

The NPI number for Millcreek Manor is 1134905565. It was assigned to this organization in the NPPES registry on September 1, 2023. The provider is doing business as Rural Health Clinic Of Ashtabula.

Where is Millcreek Manor located?

Millcreek Manor is located at 524 W 24th St, Ashtabula, OH 44004. The listed phone number is (440) 997-6915.

What is Millcreek Manor's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Millcreek Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2289738) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Millcreek Manor was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.