Organization
SHAWNEE MENTAL HEALTH CENTER, INC.
Active
Organization
SHAWNEE MENTAL HEALTH CENTER, INC.
Active
Other names
DBA Shawnee Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HOLSTEIN (CEO)
(740) 355-8686
Entity
Organization
Contact information
Practice address
192 CHESTNUT RIDGE RD, WEST UNION, OH 45693-9584
(937) 544-5400
(740) 353-1662
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 355-8686
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339258
—
OH
Enumeration date
12/04/2018
Last updated
05/09/2022
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