Stark Mrdd

LBN: Stark County Board Of Dd
Stark Mrdd is an health care organization with primary practice located at 2950 Whipple Ave Nw , Canton OH 44708-1534. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Stark County Board Of Dd can be contacted via phone (330) 477-5200, or through Green, William via phone (330) 479-3932.

Contact Information

Primary practice address
2950 Whipple Ave Nw Canton OH 44708-1534
Phone: (330) 477-5200
Fax: (330) 477-3337
Website:
Map and Directions
Authorized official contact:
Name: Green, William
Phone: (330) 479-3932

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1770603359
LBN Legal business name Stark County Board Of Dd
DBA Doing business as Stark Mrdd
Authorized official Green, William
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Apr 30th, 2010 - about 15 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 1770603359 NPPES
Ohio MEDICAID 7600019
Ohio Other HC1281

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