CHILD HEALTH SERVICES OF PORTAGE COUNTY (NPI# 1942397591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942397591 |
| Entity Type | Organization |
| Organization Name | CHILD HEALTH SERVICES OF PORTAGE COUNTY |
| Practice Address |
449 S Meridian St Ravenna OH 44266-2914 |
| Practice Telephone | 3302975437 |
| Practice Fax Number | 3302974556 |
| Mailing Telephone | 3302975437 |
| Mailing Fax Number | 3302974556 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RUTH CARNES (DIRECTOR) |
| Authorized Official Telephone | 3302975437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
0453049 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0453049 | 05 |
| Street Address |
449 S MERIDIAN ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027973 | Local Public Health Services Collaborative LLC | Clinic/Center | 9880 Murray Ridge Rd, Elyria, OH 44035-6957 | 2016-08-04 |
| 1154461374 | City of Ashtabula Ohio | Clinic/Center | 4717 Main Ave, Ashtabula, OH 44004-6943 | 2007-02-07 |
| 1598826216 | County of Lake Court House | Clinic/Center | 5966 Heisley Rd, Mentor, OH 44060-1886 | 2006-12-13 |
| 1346338688 | County of Preble | Clinic/Center | 615 Hillcrest Dr, Eaton, OH 45320-8559 | 2006-10-11 |
| 1235194937 | County of Mahoning | Clinic/Center | 50 Westchester Dr, Youngstown, OH 44515-3991 | 2006-04-18 |
| 1841274008 | Lucas County Auditor | Clinic/Center | 330 Oak Terrace Blvd, Holland, OH 43528-8993 | 2005-12-01 |
| 1821070962 | County of Ashland Auditor | Clinic/Center | 1763 State Route 60, Ashland, OH 44805-8707 | 2005-11-15 |
| 1104819457 | City of Lakewood - Division of Health | Clinic/Center | 12805 Detroit Ave, Lakewood, OH 44107-2835 | 2005-08-23 |
| 1902898810 | Lucas County Auditor | Clinic/Center | 635 N Erie St, Billing Office, Rm. 272, Toledo, OH 43604-5317 | 2005-08-17 |
| 1538760749 | Adams County Auditor | Clinic/Center | 923 Sunrise Ave, West Union, OH 45693-1143 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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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.