Clark County

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

2568163 Issued in OH

Legal business name

CLARK COUNTY

Practice address

2527 Kenton St
Springfield, OH 45505-3352

Phone

(937) 328-2675

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ravi Shankar

Title

Comptroller

Phone

(937) 328-2675

Specialties & licenses 9

Addresses

Other identifiers 2

Other names 1

• CLARK COUNTY BOARD OF MR/DD Doing business as

Tax ID family

Clark County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1083888366
  NPD tax ID
• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1174796684
  NPD tax ID
• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1174797450
  NPD tax ID
• Clark County

  • Public Health or Welfare Agency
  • Springfield, OH
  • NPI 1265549604
  NPD tax ID
• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1710151097
  NPD tax ID
• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1801060181
  NPD tax ID
• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1891969176
  NPD tax ID
• Clark County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, OH
  • NPI 1922267053
  NPD tax ID
• Clark County Sheriff'S Office

  • Public Health or Welfare Agency
  • Springfield, OH
  • NPI 1114024569
  NPD tax ID

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1952592198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 KENTON ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455053352",
            "telephone_number": "937-328-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 KENTON ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455053352",
            "telephone_number": "937-328-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SHANKAR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "937-328-2675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "2568163",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "2566361",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "2566361",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0345184",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0531679",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0559613",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0888848",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0850155",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "2082642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2568163",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2566361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARK COUNTY BOARD OF MR/DD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clark County
• Clark County
• Clark County
• Clark County
• Clark County
• Clark County Dialysis Facility, Inc.
• Clark County Educational Service Center
• Clark County Educational Service Center
• Clark County Sheriff'S Office
• Clark Dental Care Inc

• Case Management Agency in Springfield, OH
• Providers in Springfield, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.