CLARK COUNTY (NPI# 1801060181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801060181 |
| Entity Type | Organization |
| Organization Name | CLARK COUNTY |
| Other Organization Name | CLARK COUNTY BOARD OF MRDD- RED & YELLOW |
| Practice Address |
2527 Kenton St Springfield OH 45505-3352 |
| Practice Telephone | 9373282675 |
| Practice Fax Number | 9373284625 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | MR. RAVI R SHANKAR (COMPTROLLER) |
| Authorized Official Telephone | 9373284626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 0345184 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0345184 | 05 |
| Other Name | Type Code |
|---|---|
| CLARK COUNTY BOARD OF MRDD- RED & YELLOW | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699916114 | Clark County | Community/Behavioral Health | 1601 Ne 4th Plain Blvd, Bldg. #17 Ste. A-150, Vancouver, WA 98661 | 2009-03-12 |
| 1952592198 | Clark County | Day Training, Developmentally Disabled Services | 2527 Kenton St, Springfield, OH 45505-3352 | 2007-08-05 |
| 1497812697 | Clark County | Occupational Therapy Assistant | W4266 State Rd. 29, Owen, WI 54460 | 2007-01-03 |
| 1265549604 | Clark County | Public Health or Welfare | 529 E Home Rd, Springfield, OH 45503-2710 | 2006-08-23 |
| 1679570295 | Clark County | Ambulance | 100 South Cloud, Clark, SD 57225 | 2005-06-29 |
| 1366797490 | Clark County | Community/Behavioral Health | 601 N Pecos Rd, Las Vegas, NV 89101-2408 | 2012-07-15 |
| 1922267053 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-06-04 |
| 1083888366 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| 1174797450 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| 1891969176 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CLARK COUNTY 4TH AT THE FAIRGROUNDS COMMITTEE | 1 Cowlitz Way, Ridgefield, WA 98642 |
| Washington State Corporations | CLARK COUNTY ASSOCIATION OF MEDIATORS | 10000 Ne 7th Ave #400, Vancouver, WA 98685 |
| Washington State Corporations | CLARK COUNTY ASSOCIATION OF REALTORS | 1514 Broadway St, Ste 102, Vancouver, WA 98663 |
| System for Award Management (SAM) Entities | CLARK COUNTY AUTO AUCTION | 1000 Auction Ln, Jeffersonville, IN 47130-0101 |
| Washington State Corporations | CLARK COUNTY BANCORPORATION | 7720 Ne Highway 99 Ste D229, Vancouver, WA 98665-8858 |
| Washington State Corporations | CLARK COUNTY BAR ASSOCIATION | 500 W 8th St, Suite 65, Vancouver, WA 98660 |
| System for Award Management (SAM) Entities | CLARK COUNTY BD COMMISSIONERS | 1300 Franklin St, Vancouver, WA 98660-2865 |
| Washington State Corporations | CLARK COUNTY BEEKEEPERS ASSOCIATION | 20404 Ne 273rd St, Battle Ground, WA 98604-6931 |
| Washington State Corporations | CLARK COUNTY BLUE WAVE PAC | 2631 W 1st St, Washougal, WA 98671-5177 |
| System for Award Management (SAM) Entities | CLARK COUNTY BUSINESS SYSTEMS | 1700 Western #f, Las Vegas, NV 89102-2628 |
| Street Address |
2527 KENTON ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592198 | Clark County | Day Training, Developmentally Disabled Services | 2527 Kenton St, Springfield, OH 45505-3352 | 2007-08-05 |
| 1922267053 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-06-04 |
| 1083888366 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| 1174797450 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| 1891969176 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| 1710151097 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-17 |
| 1174796684 | Clark County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 Kenton St, Springfield, OH 45505-3352 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1144685785 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 58 Shelburne Rd, Springfield, PA 19064-2206 | 2015-12-28 |
| 1912362088 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 524 Kerr Ln, Springfield, PA 19064-1616 | 2015-12-16 |
| 1558726620 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 N Hillcrest Rd, Springfield, PA 19064-1441 | 2015-12-16 |
| 1386029072 | Preferred Family Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2646 W Olive St, Apt A, Springfield, MO 65802-4620 | 2015-07-23 |
| 1104200096 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Baltusrol Way, Springfield, NJ 07081-1503 | 2015-07-10 |
| 1558742940 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 Bryant Ave, Springfield, NJ 07081-1615 | 2015-06-11 |
| 1790177467 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Cornell Pkwy, Springfield, NJ 07081-3561 | 2015-03-04 |
| 1932546702 | Behavioral Learning Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 230 N Belcrest Ave, Suite B, Springfield, MO 65802-6288 | 2013-06-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
Please comment or provide details below to improve the information on CLARK COUNTY.
| 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.