Kent State University Speech & Hearing Clinic

LBN: Kent State University
Kent State University Speech & Hearing Clinic is an health care organization with primary practice located at 1325 Theatre Dr A126 Center For The Performing Arts , Kent OH 44242-0001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Hearing and Speech, which is considered as the primary health care specialty. Kent State University can be contacted via phone (330) 672-0250, or through Polatajko, Mark M via phone (330) 672-2422.

Contact Information

Primary practice address
1325 Theatre Dr A126 Center For The Performing Arts Kent OH 44242-0001
Phone: (330) 672-0250
Fax: (330) 672-2643
Website:
Map and Directions
Authorized official contact:
Name: Polatajko, Mark M
Phone: (330) 672-2422

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X

Profile Details

NPI number 1689871220
LBN Legal business name Kent State University
DBA Doing business as Kent State University Speech & Hearing Clinic
Authorized official Polatajko, Mark M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 16th, 2019 - about 5 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 1689871220 NPPES
Ohio MEDICAID 4644504

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