FAR WEST CENTER NPI 1639135940

NPI Information

NPI: 1639135940
Provider Name: FAR WEST CENTER

Other Name: SUBPART LOCATION - AMHERST

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
554 N LEAVITT RD
AMHERST, OH
ZIP 44001
Phone: (440) 988-4900
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FAR WEST CENTER is a mental health (including community mental health center) clinic center in Amherst, OH. FAR WEST CENTER NPI is 1639135940. The provider is registered as an organization entity type.
The provider Other Name Is Subpart Location - Amherst.

The provider's business location address is:

554 N LEAVITT RD
AMHERST, OH
ZIP 44001-131
Phone: (440) 988-4900
Fax: (440) 988-4910

The provider's authorized official is Daniel Fayette Radocaj .
The authorized official title is Vp Of Financial Systems and has the following contact phone number (440) 835-6212.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 8/22/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
2	251B00000X	Case Management		X
3	261QM0850X	Clinic/Center	Adult Mental Health	X

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	0308483	MEDICAID	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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