VILLAGE NETWORK NPI 1124057914

NPI Information

NPI: 1124057914
Provider Name: VILLAGE NETWORK

Doing Business As: THE VILLAGE NETWORK

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 36D2089714

Address:
2000 NOBLE DR
WOOSTER, OH
ZIP 44691
Phone: (330) 264-3232
Get Directions

VILLAGE NETWORK is a voluntary or charitable in Wooster, OH. VILLAGE NETWORK NPI is 1124057914. The provider is registered as an organization entity type.
The provider Is Doing Business As The Village Network.

The provider's business location address is:

2000 NOBLE DR
WOOSTER, OH
ZIP 44691-353
Phone: (330) 264-3232
Fax: (330) 202-3880

The provider's authorized official is Richard Graziano .
The authorized official title is Ceo/president and has the following contact phone number (330) 264-3232.

The CLIA number assigned to this NPI record is 36D2089714 - other - clinic behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		0342	OHIO	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0342	OHIO	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	0342	OHIO	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	13684	OHIO	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	13685	OHIO	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	13686	OHIO	No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		0342	OHIO	No
8	251V00000X	Voluntary or Charitable				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2847147	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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