GREAT TRAIL FAMILY PRACTICE
NPI 1487713632
Clinic/Center - Primary Care in Minerva, OH

Active since December 06, 2006CLIA 36D0887692 · Microscopy
1028 E LINCOLNWAY, MINERVA, OH 44657(330) 868-6044(330) 868-6847 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Great Trail Family Practice NPPES

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

GREAT TRAIL FAMILY PRACTICE (NPI 1487713632) is a healthcare organization registered as a primary care in Minerva, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through June 15, 2028 and lists Susan B Barr, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487713632
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEDWARD N. BARR
Location Address1028 E LINCOLNWAYMinerva, OH 44657-1216
Mailing Address1028 E LincolnwayMinerva, OH 44657-1216 · (330) 868-6044
Fax(330) 868-6847
Organization SubpartNo
Authorized OfficialSusan B BarrOffice Manager · (330) 868-6044
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1487713632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1028 E LINCOLNWAY, Minerva, OH 44657

Other Names 1

Doing Business AsGreat Trail Family Practice

Other Identifiers 1

Medicare ID-Type Unspecified9266751OH

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 for Provider-Performed Microscopy Procedures (PPMP) 36D0887692

Great Trail Family Practice · Minerva, OH
Active · expires Jun 15, 2028
CLIA Number36D0887692
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorEdward N. Barr
Laboratory Phone(330) 868-6044
Laboratory LocationGreat Trail Family Practice1028 East Lincolnway, Minerva, OH 44657
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1028 E LINCOLNWAY
MINERVA, OH 44657
Physician Assistant
1028 E LINCOLNWAY
MINERVA, OH 44657
Family Medicine
1028 E LINCOLNWAY
MINERVA, OH 44657
Nurse Practitioner (Family)
1028 E LINCOLNWAY
MINERVA, OH 44657

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 Edward N. Barr's NPI number?

The NPI number for Edward N. Barr is 1487713632. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Great Trail Family Practice.

Where is Edward N. Barr located?

Edward N. Barr is located at 1028 E Lincolnway, Minerva, OH 44657. The listed phone number is (330) 868-6044.

What is Edward N. Barr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Edward N. Barr hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0887692) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edward N. Barr was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.