SHAWNEE MENTAL HEALTH CENTER, INC. (NPI# 1225508195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225508195 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MENTAL HEALTH CENTER, INC. |
| Practice Address |
225 Carlton Davidson Ln Coal Grove OH 45638-2924 |
| Mailing Address |
901 Washington St Portsmouth OH 45662-3944 |
| Practice Telephone | 7405336280 |
| Mailing Telephone | 7403558686 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | CYNTHIA HOLSTEIN (CEO) |
| Authorized Official Telephone | 7403558686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DBA 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 |
| 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 |
| 1164794160 | Shawnee Mental Health Center, Inc. | Clinic/Center | 715 Lane St, Coal Grove, OH 45638-3161 | 2012-02-07 |
| 1093904120 | Shawnee Mental Health Center, Inc. | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2007-10-15 |
| Street Address |
225 CARLTON DAVIDSON LN |
| City | COAL GROVE |
| State | OH |
| Zip Code | 45638-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265600241 | Valerie A Patrick | Counselor | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2008-02-13 |
| 1730799487 | Christopher Luke Davis | Social Worker | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2020-08-07 |
| 1811527153 | Paige Mullins | Counselor | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2020-01-24 |
| 1407486145 | Eleanor Harris | Counselor | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2020-01-22 |
| 1356987291 | Cody Sparks | Social Worker | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2019-11-26 |
| 1750924064 | Stacey Klaiber | Licensed Practical Nurse | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2019-10-21 |
| 1831746320 | Amber N Roffe | Nurse Practitioner | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2019-08-20 |
| 1558916882 | Amanda Williams | Counselor | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2019-08-05 |
| 1255803144 | Jeremy Fisher | Registered Nurse | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2018-12-18 |
| 1548735418 | Julia Taylor | Social Worker | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2018-10-08 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851461644 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 223 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380725 | Family Health Services of Erie County | Clinic/Center | 209 Lowell St, Castalia, OH 44824-9332 | 2020-09-15 |
| 1124633193 | Community Health Centers of Greater Dayton | Clinic/Center | 3805 Kings Hwy Rm C, Dayton, OH 45406-3577 | 2020-09-15 |
| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
| 1205452331 | Muskingum Valley Health Centers | Clinic/Center | 58601 Marietta Rd Ste 100, Byesville, OH 43723-9452 | 2020-06-24 |
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| 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.