James Dana Hull, QMHS

Individual provider Active NPI Case Manager/Care Coordinator · Bainbridge, OH

NPI 1518596451 · NPPES record last updated Apr 3, 2020

Key facts

NPI
1518596451
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Phone
(740) 634-3094
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Youth Services Inc. Past
since Apr 5, 2020
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lys/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500

Mailing address

401 E McMillan St
Cincinnati, OH 45206-1922
Phone (513) 221-3350

Other providers in Bainbridge, OH

All providers in Bainbridge, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.