Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Date IV

Individual provider Community Health Worker · NPI 1861214488

Mr. John Date IV is a Community Health Worker in Athens, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
Specialties on file
2
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 132
Athens, OH 45701-0132
Phone: (740) 594-6807
Fax: (740) 447-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (OH)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1861214488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2024
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address49 Johnson Rd, The Plains, OH 45780-1146

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