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BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO INC NPI 1063479079


NPI Information

NPI: 1063479079
Provider Name: BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO INC

Former Legal Business Name: MOUNDBUILDERS GUIDANCE CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
65 MESSIMER DR
NEWARK, OH
ZIP 43055
Phone: (740) 522-8477
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BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO INC is a mental health (including community mental health center) clinic center in Newark, OH. BEHAVIORAL HEALTHCARE PARTNERS OF CENTRAL OHIO INC NPI is 1063479079. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Moundbuilders Guidance Center.

The provider's business location address is:

65 MESSIMER DR
NEWARK, OH
ZIP 43055-874
Phone: (740) 522-8477
Fax: (740) 788-3424

The provider's authorized official is Lee Renner .
The authorized official title is Billing Supervisor and has the following contact phone number (740) 788-0236.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 5/9/2017.


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
12083X0100XPreventive MedicineOccupational Medicine35.037464OHIONo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10200008MEDICAIDOHIO
29226891MEDICARE PINOHIO

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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