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CALVARY BEHAVIORAL HEALTH OF OHIO LLC NPI 1487251088


NPI Information

NPI: 1487251088
Provider Name: CALVARY BEHAVIORAL HEALTH OF OHIO, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
7547 CENTRAL PARKE BLVD
MASON, OH
ZIP 45040
Phone: (513) 993-0341
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CALVARY BEHAVIORAL HEALTH OF OHIO, LLC is a rehabilitation and substance use disorder clinic center in Mason, OH. CALVARY BEHAVIORAL HEALTH OF OHIO, LLC NPI is 1487251088. The provider is registered as an organization entity type.

The provider's business location address is:

7547 CENTRAL PARKE BLVD
MASON, OH
ZIP 45040-811
Phone: (513) 993-0341

The provider's authorized official is Branden Edward Heineman .
The authorized official title is Director and has the following contact phone number (513) 753-9964.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 7/31/2023.


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
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
10008641MEDICAIDOHIO

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

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.