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PORTAGE COUNTY CHILDREN'S SERVICE CENTER NPI 1164062899


NPI Information

NPI: 1164062899
Provider Name: PORTAGE COUNTY CHILDREN'S SERVICE CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
520 N CHESTNUT ST
RAVENNA, OH
ZIP 44266
Phone: (330) 296-5552
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PORTAGE COUNTY CHILDREN'S SERVICE CENTER is a rehabilitation and substance use disorder clinic center in Ravenna, OH. PORTAGE COUNTY CHILDREN'S SERVICE CENTER NPI is 1164062899. The provider is registered as an organization entity type.

The provider's business location address is:

520 N CHESTNUT ST
RAVENNA, OH
ZIP 44266-218
Phone: (330) 296-5552
Fax: (330) 296-6126

The provider's authorized official is Michelle Lee Hurd .
The authorized official title is Fiscal Supervisor and has the following contact phone number (330) 296-5552.

The enumeration date for this NPI number is 1/10/2020 and was last updated on 1/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.