CMS-1500 Box 24J / 33a • NPI
1255197695
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM0801X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1810 MAPLE AVE RM 126, HURON, OH, 44839-1261
✓ 9-Digit EDI 837 ZIP+4 (44839-1261)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255197695 (FAMILY HEALTH SERVICES OF ERIE COUNTY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1255197695 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | FAMILY HEALTH SERVICES OF ERIE COUNTY |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM0801X (Clinic/Center, Mental Health (Including Community Mental Health Center)) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 1810 MAPLE AVE RM 126, HURON, OH, 44839-1261 |
| Practice Telephone / Fax | Tel: (419) 502-2800 | Fax: (419) 502-2821 |
| Administrative Mailing Address | 1912 HAYES AVE STE D, SANDUSKY, OH, 44870-4736 |
| Enumeration & Last Sync | Enumerated: 2024-02-23 | CMS Record Updated: 2024-02-23 |
| Authorized Official | DAVID TATRO (Chief Executive Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)
What Does Taxonomy Code 261QM0801X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (FAMILY HEALTH SERVICES OF ERIE COUNTY)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QD0000X — Clinic/Center, DentalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QF0400X — Clinic/Center, Federally Qualified Health Center (FQHC)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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