Licking County Board Of Mrdd

LBN: Licking County Board Of Mrdd
Licking County Board Of Mrdd is an health care organization with primary practice located at 65 W Church St , Newark OH 43055-5013. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services. Agencies / Case Management is the primary health care specialty. Licking County Board Of Mrdd can be contacted via phone (740) 349-6588, or through Smith, Gary via phone (740) 349-6588.

Contact Information

Primary practice address
65 W Church St Newark OH 43055-5013
Phone: (740) 349-6588
Fax: (740) 349-6595
Website:
Map and Directions
Authorized official contact:
Name: Smith, Gary
Phone: (740) 349-6588

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 4500016 Ohio
Agencies / Day Training, Developmentally Disabled Services 251C00000X 4500016 Ohio

Profile Details

NPI number 1295860724
LBN Legal business name Licking County Board Of Mrdd
DBA Doing business as
Authorized official Smith, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 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 1295860724 NPPES
Ohio MEDICAID 0773051

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