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PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER NPI 1225087802


NPI Information

NPI: 1225087802
Provider Name: PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER

Doing Business As: PORTAGE PATH BEHAVIORAL HEALTH

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
340 S BROADWAY ST
AKRON, OH
ZIP 44308
Phone: (330) 253-3100
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PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Akron, OH. PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER NPI is 1225087802. The provider is registered as an organization entity type.
The provider Is Doing Business As Portage Path Behavioral Health.

The provider's business location address is:

340 S BROADWAY ST
AKRON, OH
ZIP 44308-529
Phone: (330) 253-3100
Fax: (330) 253-5248

The provider's authorized official is Tracy Yaeger .
The authorized official title is President and has the following contact phone number (330) 253-3100.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/6/2017.


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
1261QM0801XClinic/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
12314561MEDICAIDOHIO
29911775MEDICARE 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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