Glendale

LBN: County Of Richland
Glendale is an health care organization with primary practice located at 624 Glendale Blvd , Mansfield OH 44907-2224. 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. County Of Richland can be contacted via phone (419) 774-4394, or through Prather, Elizabeth G via phone (419) 774-4200.

Contact Information

Primary practice address
624 Glendale Blvd Mansfield OH 44907-2224
Phone: (419) 774-4394
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prather, Elizabeth G
Phone: (419) 774-4200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1558558601
LBN Legal business name County Of Richland
DBA Doing business as Glendale
Authorized official Prather, Elizabeth G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 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 1558558601 NPPES
Ohio MEDICAID 0511539

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