Organization
CHILD HEALTH SERVICES OF PORTAGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH CARNES (DIRECTOR)
(330) 297-5437
Entity
Organization
Contact information
Practice address
449 S MERIDIAN ST, RAVENNA, OH 44266-2914
(330) 297-5437
(330) 297-4556
Mailing address
449 S MERIDIAN ST, RAVENNA, OH 44266-2914
(330) 297-5437
(330) 297-4556
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
0453049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453049
—
OH
Enumeration date
10/06/2006
Last updated
08/22/2020
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