PORTAGE PATH BEHAVIORAL HEALTH NPI 1881643633

NPI Information

NPI: 1881643633
Provider Name: PORTAGE PATH BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 36D1081674

Address:
10 PENFIELD AVE
AKRON, OH
ZIP 44310
Phone: (330) 762-6110
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PORTAGE PATH BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in Akron, OH. PORTAGE PATH BEHAVIORAL HEALTH NPI is 1881643633. The provider is registered as an organization entity type.

The provider's business location address is:

10 PENFIELD AVE
AKRON, OH
ZIP 44310-912
Phone: (330) 762-6110
Fax: (330) 253-5248

The provider's authorized official is Jerry T Kraker .
The authorized official title is President and has the following contact phone number (330) 253-3100.

The CLIA number assigned to this NPI record is 36D1081674 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 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	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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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