Five County Alcohol/Drup Program In

LBN: Five County Alcohol/Drup Program In
Five County Alcohol/Drup Program In is an health care organization with primary practice located at 109 W Main St , Alvordton OH 43501-9763. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Suppliers / Non-Pharmacy Dispensing Site. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Five County Alcohol/Drup Program In can be contacted via phone (419) 924-2029, or through Bond, Kenneth via phone (419) 782-9920.

Contact Information

Primary practice address
109 W Main St Alvordton OH 43501-9763
Phone: (419) 924-2029
Fax: (419) 924-2061
Website:
Map and Directions
Authorized official contact:
Name: Bond, Kenneth LICDC
Phone: (419) 782-9920

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 0559 Ohio
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0559 Ohio
Suppliers / Non-Pharmacy Dispensing Site 332900000X 0559 Ohio

Profile Details

NPI number 1093772386
LBN Legal business name Five County Alcohol/Drup Program In
DBA Doing business as
Authorized official Bond, Kenneth LICDC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093772386 NPPES
Ohio Other 10998 MACSIS UPI

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