Clark County in Springfield - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Clark County - NPI 1801060181

Clark County is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Springfield, Ohio. Clark County practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Clark County is 1801060181. The last update date is 2008-04-17.

Clark County's current location address is 2527 Kenton St, Springfield, Ohio. You can contact this provider via phone number 9373282675 and fax number 9373284625. The mailing address for Clark County is 2527 Kenton St, Springfield, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clark County
Address 2527 Kenton St, Springfield, Ohio
Phone Number 9373282675
Fax Number 9373284625
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COMPTROLLE
Authorized Official Name Shankar R Ravi
Telephone Number 9373284626

NPI Number Detail

NPI Number 1801060181
Provider Enumeration Date 2008-04-17
Last Updated Date 2008-04-17

Provider Mailing Address Detail

Address 2527 Kenton St
City Springfield
State Ohio (OH)
Post Code 455053352
Phone Number 9373282675
Fax Number 9373284625

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 345184
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
345184 OH --

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FAQs about Clark County

What is the unique 10-digit identification code assigned to Clark County by the Centers for Medicare & Medicaid Services?

The Clark County has been issued the NPI (National Provider Identifier) 1801060181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Clark County is located?

The Clark County is situated at the following address: 2527 Kenton St, Springfield, OH, 455053352.

What is Clark County's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Clark County is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1801060181 to Clark County?

The Centers for Medicare & Medicaid Services assigned the 1801060181 to Clark County on 2008-04-17.

When was the information regarding Clark County, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Clark County, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-17.

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