MULTI-COUNTY JUVENILE DETENTION CENTER NPI 1568678571

NPI Information

NPI: 1568678571
Provider Name: MULTI-COUNTY JUVENILE DETENTION CENTER
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

CLIA Number: 36D2249330

Address:
923 LIBERTY DR
LANCASTER, OH
ZIP 43130
Phone: (740) 652-1525
Get Directions

MULTI-COUNTY JUVENILE DETENTION CENTER is a prison health clinic center in Lancaster, OH. MULTI-COUNTY JUVENILE DETENTION CENTER NPI is 1568678571. The provider is registered as an organization entity type.

The provider's business location address is:

923 LIBERTY DR
LANCASTER, OH
ZIP 43130-045
Phone: (740) 652-1525
Fax: (740) 625-1527

The provider's authorized official is Edgar A Penrod .
The authorized official title is Superintendent and has the following contact phone number (740) 352-1525.

The CLIA number assigned to this NPI record is 36D2249330 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/16/2008.

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	261QP2400X	Clinic/Center	Prison Health			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	2525566	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

NPI Synchronization or Removal

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