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CLARK COUNTY NPI 1952592198


NPI Information

NPI: 1952592198
Provider Name: CLARK COUNTY

Doing Business As: CLARK COUNTY BOARD OF MR/DD

Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 36D0901281

Address:
2527 KENTON ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-2675
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CLARK COUNTY is a case management in Springfield, OH. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. CLARK COUNTY NPI is 1952592198. The provider is registered as an organization entity type.
The provider Is Doing Business As Clark County Board Of Mr/dd.

The provider's business location address is:

2527 KENTON ST
SPRINGFIELD, OH
ZIP 45505-352
Phone: (937) 328-2675

The provider's authorized official is Ravi Shankar .
The authorized official title is Comptroller and has the following contact phone number (937) 328-2675.

The CLIA number assigned to this NPI record is 36D0901281 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services2566361OHIONo
2251S00000XCommunity/Behavioral Health2566361OHIONo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0345184OHIONo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0531679OHIONo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0559613OHIONo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0888848OHIONo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0850155OHIONo
8320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2082642OHIONo
9251B00000XCase Management2568163OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12566361MEDICAIDOHIO
22568163MEDICAIDOHIO

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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