TOWNHALL II INC. NPI 1407808827

NPI Information

NPI: 1407808827
Provider Name: TOWNHALL II INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2162842

Address:
155 N WATER ST
KENT, OH
ZIP 44240
Phone: (330) 678-3006
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TOWNHALL II INC. is a rehabilitation and substance use disorder clinic center in Kent, OH. TOWNHALL II INC. NPI is 1407808827. The provider is registered as an organization entity type.

The provider's business location address is:

155 N WATER ST
KENT, OH
ZIP 44240-418
Phone: (330) 678-3006
Fax: (330) 677-7047

The provider's authorized official is Sue E Whitehurst .
The authorized official title is Executive Director and has the following contact phone number (330) 378-3006.

The CLIA number assigned to this NPI record is 36D2162842 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 6/17/2009.

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)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	Other Provider Identifier Issuer
1	01452	MEDICARE UPIN	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: 4/28/2024

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