FIRELANDS REGIONAL MEDICAL CENTER NPI 1629028600

NPI Information

NPI: 1629028600
Provider Name: FIRELANDS REGIONAL MEDICAL CENTER

Doing Business As: FIRELANDS COUNSELING & RECOVERY SERVICES

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1925 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-5177
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FIRELANDS REGIONAL MEDICAL CENTER is a mental health (including community mental health center) clinic center in Sandusky, OH. FIRELANDS REGIONAL MEDICAL CENTER NPI is 1629028600. The provider is registered as an organization entity type.
The provider Is Doing Business As Firelands Counseling & Recovery Services.

The provider's business location address is:

1925 HAYES AVE
SANDUSKY, OH
ZIP 44870-793
Phone: (419) 557-5177
Fax: (419) 557-5169

The provider's authorized official is Robert Moore .
The authorized official title is Executive Vice President Legal and has the following contact phone number (419) 557-7400.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 2/8/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	OHIO	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	OHIO	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	OHIO	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	3293725	MEDICAID	OHIO
2	1168	OTHER	OHIO	MACSIS UPI

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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