FAMILY RESOURCE CENTER OF NORTHWEST OHIO INC NPI 1851343735

NPI Information

NPI: 1851343735
Provider Name: FAMILY RESOURCE CENTER OF NORTHWEST OHIO INC

Former Legal Business Name: NORTHWEST FAMILY SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
530 SOUTH MAIN ST
LIMA, OH
ZIP 45804
Phone: (419) 222-1168
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FAMILY RESOURCE CENTER OF NORTHWEST OHIO INC is a rehabilitation and substance use disorder clinic center in Lima, OH. FAMILY RESOURCE CENTER OF NORTHWEST OHIO INC NPI is 1851343735. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northwest Family Services.

The provider's business location address is:

530 SOUTH MAIN ST
LIMA, OH
ZIP 45804-240
Phone: (419) 222-1168
Fax: (419) 222-7610

The provider's authorized official is John J Bindas .
The authorized official title is President/ceo and has the following contact phone number (419) 222-1168.

The CLIA number assigned to this NPI record is 36D2177885 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/25/2019.

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	251B00000X	Case Management		056,6370,12606	OHIO	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	056,6370,12606	OHIO	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		OHIO	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	056,6370,12606	OHIO	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	2900981	MEDICAID	OHIO
2	2864566	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: 11/14/2023

NPI Synchronization or Removal

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