SHAWNEE MENTAL HEALTH CENTER INC (NPI# 1497098321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497098321 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Other Organization Name | SHAWNEE FAMILY HEALTH CENTER |
| Practice Address |
192 Chestnut Ridge Rd West Union OH 45693-9584 |
| Mailing Address |
901 Washington St Portsmouth OH 45662-3944 |
| Practice Telephone | 9375445581 |
| Practice Fax Number | 9375447327 |
| Mailing Telephone | 7403547702 |
| Mailing Fax Number | 7403531662 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | MR. DON THACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403547702 |
| Authorized Official Credential | L.I.S.W. |
| Is Organization Subpart | Y |
| Parent Organization Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shawnee Family Health Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1184980625 | Shawnee Mental Health Center Inc | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2012-04-10 |
| 1336173236 | Shawnee Mental Health Center Inc | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2006-07-10 |
| Street Address |
192 CHESTNUT RIDGE RD |
| City | WEST UNION |
| State | OH |
| Zip Code | 45693-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578635272 | Hugh W Pettigrew | Psychiatry & Neurology | 192 Chestnut Ridge Rd, West Union, OH 45693 | 2006-11-15 |
| 1649816513 | Tiffany Ricketts | Social Worker | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2019-11-26 |
| 1720638471 | Chelsea Roush | Counselor | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2019-09-16 |
| 1720641830 | Kendi Jordan | Counselor | 192 Chestnut Ridge Rd, West Union, OH 45693 | 2019-04-16 |
| 1750851622 | Shawnee Mental Health Center, Inc. | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2018-12-04 |
| 1669961892 | Timothy Bennington | Counselor | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2018-05-03 |
| 1255836805 | Susan Gross | Social Worker | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2018-03-27 |
| 1982119095 | Tiffany Hall | Licensed Practical Nurse | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2017-12-12 |
| 1659881175 | Heather Tolle | Social Worker | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2017-10-11 |
| 1124537543 | Crystal Morris | Case Manager/Care Coordinator | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557364 | Todd Cooper | Pharmacist | 11217 Sr 41 S, West Union, OH 45693 | 2020-10-29 |
| 1700395183 | Hilarie Byrd | Case Manager/Care Coordinator | 1920 Chestnut Ridge Rd, West Union, OH 45693 | 2017-09-28 |
| 1902323520 | Ruth Ann Copas | Occupational Therapy Assistant | 141 Spruce Lane, Eagle Creek Nursing Center, West Union, OH 45693 | 2017-08-24 |
| 1083020044 | Benjamin Mcdonald | Dentist | 7750 Ohio 125, West Union, OH 45693 | 2014-07-10 |
| 1043546484 | William Joseph Brammer | Pharmacist | 10415 State Route 41, West Union, OH 45693 | 2009-10-20 |
| 1316187834 | Adams County Auditor | Ambulance | 215 Sparks Street, West Union, OH 45693 | 2009-02-24 |
| 1700093416 | Adams Brown Counties Economic Oppt Inc | Clinic/Center | 9137 St. Rt. 136, West Union, OH 45693 | 2007-05-16 |
| 1316072176 | Brenda Kay Ables | Adult Companion | 434 Bloom Drive, West Union, OH 45693 | 2007-02-22 |
| 1982765954 | Brenda Sue Mckee | Home Health Aide | 137 Riffle Rd, West Union, OH 45693 | 2006-12-13 |
| 1568478501 | Nikkole Jean Oldfield | Licensed Practical Nurse | 1143 E Walnut St, West Union, OH 45693 | 2006-07-31 |
| Find all providers in zip 45693 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1932455359 | Earnest Mullins House of Hope: Shelter for The Homeless and Battered W | Clinic/Center | 164 S 2nd St, Byesville, OH 43723-1304 | 2012-08-03 |
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| Find all providers with the same taxonomy | ||||
| City | WEST UNION |
| Zip Code | 45693 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.