Brown County Board of Mental Retardation and Developmental Disabilitie

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BROWN COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIE

Practice address

325 W State St
Building a, Suite 2
Georgetown, OH 45121-1229

Phone

(937) 378-4891

Fax

(937) 378-3585

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lena C. Bradford

Title

Superintendent

Phone

(937) 378-4891

Specialties & licenses 1

Addresses

Tax ID family

Brown County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Brown County

  • Public Health or Welfare Agency
  • Georgetown, OH
  • NPI 1013036466
  NPD tax ID
• Brown County Board of MRDD

  • Case Management Agency
  • Georgetown, OH
  • NPI 1639179864
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1194852749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WEST STATE STREET",
            "address_2": "BUILDING A, SUITE 2",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451219098",
            "telephone_number": "937-378-4891",
            "fax_number": "937-378-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W STATE ST",
            "address_2": "BUILDING A, SUITE 2",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211229",
            "telephone_number": "937-378-4891",
            "fax_number": "937-378-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN COUNTY BOARD OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "937-378-4891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha E Bolender, R.N.
• Sandra Marie Bonar
• Brightview LLC
• Courtny Bronson-Schulz, CDCA
• Brown County
• Brown County Board of MRDD
• Brown County Educational Service Center
• Brown County General Hospital
• Brown County General Hospital
• Brown County General Hospital

• Developmental Disabilities Clinic/Center in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.