TRI-STATE BEHAVIORAL HEALTH CARE INC. NPI 1083672901

NPI Information

NPI: 1083672901
Provider Name: TRI-STATE BEHAVIORAL HEALTH CARE, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
157 E LAWN AVE
SAINT CLAIRSVILLE, OH
ZIP 43950
Phone: (740) 695-4026
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TRI-STATE BEHAVIORAL HEALTH CARE, INC. is a mental health (including community mental health center) clinic center in Saint Clairsville, OH. TRI-STATE BEHAVIORAL HEALTH CARE, INC. NPI is 1083672901. The provider is registered as an organization entity type.

The provider's business location address is:

157 E LAWN AVE
SAINT CLAIRSVILLE, OH
ZIP 43950-155
Phone: (740) 695-4026
Fax: (740) 695-4025

The provider's authorized official is Kasiraja Sathappan .
The authorized official title is Chief Executive Officer and has the following contact phone number (740) 695-4026.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 8/22/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	35085372	OHIO	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	06505RX	OHIO	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	10008085	OHIO	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	E0002789	OHIO	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	35066996S	OHIO	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
1	2592814	MEDICAID	OHIO
2	2290962	MEDICAID	OHIO
3	0981577	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: 11/14/2023

NPI Synchronization or Removal

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