Clark County Board Of Mr/Dd Yellow Icf/Mr
LBN: Clark County
Clark County Board Of Mr/Dd Yellow Icf/Mr is an health care organization with primary practice located at 2527 Kenton St , Springfield OH 45505-3352. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Clark County can be contacted via phone (937) 328-2675, or through Shankar, Ravi R via phone (937) 328-4626.
Contact Information
Primary practice address
2527 Kenton St
Springfield OH 45505-3352
Phone: (937) 328-2675
Fax: (937) 328-4625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 2814576 | Ohio |
Profile Details
| NPI number | 1922267053 |
|---|---|
| LBN Legal business name | Clark County |
| DBA Doing business as | Clark County Board Of Mr/Dd Yellow Icf/Mr |
| Authorized official | Shankar, Ravi R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2008 |
| Last updated | Jun 4th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922267053 | NPPES |
| Ohio | MEDICAID | 2815476 |
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