MOUNDBUILDERS GUIDANCE CENTER INC. NPI 1598723728

NPI Information

NPI: 1598723728
Provider Name: MOUNDBUILDERS GUIDANCE CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 397-0442
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MOUNDBUILDERS GUIDANCE CENTER, INC. is a mental health (including community mental health center) clinic center in Mount Vernon, OH. MOUNDBUILDERS GUIDANCE CENTER, INC. NPI is 1598723728. The provider is registered as an organization entity type.

The provider's business location address is:

8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH
ZIP 43050-193
Phone: (740) 397-0442
Fax: (740) 392-1814

The provider's authorized official is Patrick C Evans .
The authorized official title is Ceo and has the following contact phone number (740) 788-3400.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/9/2008.

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	261QM0801X	Clinic/Center	Mental 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10182	MEDICARE UPIN	OHIO
2	0200008	OTHER	OHIO	MEDICARE CROSSOVER
3	MC-26	MEDICAID	OHIO
4	9226892	MEDICARE PIN	OHIO
5	2485734	OTHER	OHIO	RISPERDAL

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

NPI Synchronization or Removal

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