SHAWNEE MENTAL HEALTH CENTER, INC. (NPI# 1164794160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164794160 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MENTAL HEALTH CENTER, INC. |
| Other Organization Name | SHAWNEE FAMILY HEALTH CENTER |
| Practice Address |
715 Lane St Coal Grove OH 45638-3161 |
| Mailing Address |
901 Washington St Portsmouth OH 45662-3944 |
| Practice Telephone | 7405336206 |
| Practice Fax Number | 7405336284 |
| Mailing Telephone | 7403547702 |
| Mailing Fax Number | 7403536206 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |
| Authorized Official Name | DON THACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403547702 |
| Authorized Official Credential | L.I.S.W. |
| Is Organization Subpart | Y |
| Parent Organization Name | SHAWNEE MENTAL HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shawnee Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932398062 | Shawnee Mental Health Center, Inc. | Clinic/Center | 715 Lane St, Coal Grove, OH 45638-3161 | 2007-10-15 |
| 1750851622 | Shawnee Mental Health Center, Inc. | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2018-12-04 |
| 1225508195 | Shawnee Mental Health Center, Inc. | Clinic/Center | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2018-12-04 |
| 1063982924 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-12-04 |
| 1730682733 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-03-15 |
| 1093904120 | Shawnee Mental Health Center, Inc. | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2007-10-15 |
| Street Address |
715 LANE ST |
| City | COAL GROVE |
| State | OH |
| Zip Code | 45638-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932398062 | Shawnee Mental Health Center, Inc. | Clinic/Center | 715 Lane St, Coal Grove, OH 45638-3161 | 2007-10-15 |
| 1265603500 | Lisa Jackson | Counselor | 715 Lane St, Coal Grove, OH 45638-3161 | 2008-03-14 |
| 1417125436 | Georgann C Holbrook | Counselor | 715 Lane St, Coal Grove, OH 45638-3161 | 2008-02-12 |
| 1497923429 | Deborah Willis | Counselor | 715 Lane St, Coal Grove, OH 45638 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| Find all providers in zip 45638 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 1790215614 | Health Professionals of Holmes County, Inc | Clinic/Center | 1261 Wooster Rd Ste 200, Millersburg, OH 44654-1570 | 2017-06-13 |
| 1306260609 | Morrow County Hospital | Clinic/Center | 692 State Route 61, Marengo, OH 43334 | 2014-02-07 |
| 1104265792 | Trinity Hospital Twin City | Clinic/Center | 110 North Walnut Street, Gnadenhutten, OH 44629 | 2013-06-18 |
| 1346594801 | Morgan County Family Practice | Clinic/Center | 4279 N State Route 376 Nw, Mcconnelsville, OH 43756-9145 | 2012-11-06 |
| 1932455359 | Earnest Mullins House of Hope: Shelter for The Homeless and Battered W | Clinic/Center | 164 S 2nd St, Byesville, OH 43723-1304 | 2012-08-03 |
| 1689806887 | Galion Community Hospital | Clinic/Center | 385 N. Seltzer Street, Crestline, OH 44827 | 2009-08-20 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| Find all providers with the same taxonomy | ||||
| City | COAL GROVE |
| Zip Code | 45638 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.