Organization
CLARK COUNTY
Active
Organization
CLARK COUNTY
Active
Other names
CLARK COUNTY BOARD OF MR/DD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI SHANKAR (COMPTROLLER)
(937) 328-2675
Entity
Organization
Contact information
Practice address
2527 KENTON ST, SPRINGFIELD, OH 45505-3352
(937) 328-2675
Mailing address
2527 KENTON ST, SPRINGFIELD, OH 45505-3352
(937) 328-2675
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2568163
OH
251C00000X
Developmentally Disabled Services Day Training Agency
2566361
OH
251S00000X
Community/Behavioral Health Agency
2566361
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0345184
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0531679
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0559613
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0850155
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0888848
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2082642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2566361
—
OH
05
—
2568163
—
OH
Enumeration date
08/05/2007
Last updated
08/05/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up