Greene Pak Psychiatric Service Inc

LBN: Greene Pak Psychiatric Service Inc
Greene Pak Psychiatric Service Inc is an health care organization with primary practice located at 482 N Detroit St , Xenia OH 45385. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Greene Pak Psychiatric Service Inc can be contacted via phone (937) 374-6010, or through Rahman, Mahmood via phone (937) 374-6010.

Contact Information

Primary practice address
482 N Detroit St Xenia OH 45385
Phone: (937) 374-6010
Fax: (937) 374-6014
Website:
Map and Directions
Authorized official contact:
Name: Rahman, Mahmood Doctor of Medicine (MD)
Phone: (937) 374-6010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Ohio
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Ohio

Profile Details

NPI number 1124187554
LBN Legal business name Greene Pak Psychiatric Service Inc
DBA Doing business as
Authorized official Rahman, Mahmood Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Dec 11th, 2007 - about 19 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 1124187554 NPPES
Ohio MEDICAID 0976949

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