Clark County Board Of Mr/Dd

LBN: Clark County
Clark County Board Of Mr/Dd is an health care organization with primary practice located at 2527 Kenton St , Springfield OH 45505-3352. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Case Management is the primary health care specialty. Clark County can be contacted via phone (937) 328-2675, or through Shankar, Ravi via phone (937) 328-2675.

Contact Information

Primary practice address
2527 Kenton St Springfield OH 45505-3352
Phone: (937) 328-2675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shankar, Ravi
Phone: (937) 328-2675

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 2568163 Ohio
Agencies / Day Training, Developmentally Disabled Services 251C00000X 2566361 Ohio
Agencies / Community/Behavioral Health 251S00000X 2566361 Ohio
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 0345184 Ohio
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 0531679 Ohio
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 0559613 Ohio
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 0888848 Ohio
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 0850155 Ohio
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 2082642 Ohio

Profile Details

NPI number 1952592198
LBN Legal business name Clark County
DBA Doing business as Clark County Board Of Mr/Dd
Authorized official Shankar, Ravi
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952592198 NPPES
Ohio MEDICAID 2568163
Ohio MEDICAID 2566361

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