MATT TALBOT HOUSE, INC. (NPI# 1447347265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447347265 |
| Entity Type | Organization |
| Organization Name | MATT TALBOT HOUSE, INC. |
| Practice Address |
809 South Limestone Street Springfield OH 45501 |
| Mailing Address |
809 South Limestone Street Po Box 1301 Springfield OH 45501 |
| Practice Telephone | 9373220872 |
| Mailing Telephone | 9373220872 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LARRY COX (DIRECTOR) |
| Authorized Official Telephone | 9373220872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
809 SOUTH LIMESTONE STREET |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318617 | Siddharth Paresh Mehta | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane. Western Reserve Health Education, Inc., Youngstown, OH 45501 | 2018-05-31 |
| 1962806539 | Kristi Kirby Knight-craddock | Speech-Language Pathologist | 25 West High Street, Springfield, OH 45501 | 2014-10-10 |
| 1366612343 | Stephen Russell Smith | Physician Assistant | 2615 E High Street, Springfield Emergency Physicians Inc., Springfield, OH 45501 | 2008-03-06 |
| 1346350469 | Kevin Patrick Cochran | Dentist | 253 Hampton Pl, Springfield, OH 45501 | 2006-08-30 |
| 1245347392 | Young R Park | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-24 |
| 1104839463 | Ronald D Patterson | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1437162880 | Joseph Patrick Mader | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1235142688 | Dan Thomas Hladky | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1952314304 | Mary Susan Andorfer | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
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| 1851992622 | Destinee Lathon | Nurse's Aide | 1731 Fairmont Dr, Springfield, IL 62702-2927 | 2020-11-06 |
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| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1073113023 | Crystal Lynn Sandridge | Technician | 9710 Cumberland Rd, Springfield, WV 26763 | 2020-10-29 |
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| Find all providers in SPRINGFIELD | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1164954947 | Contemporary Therapeutics LLC | Clinic/Center | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2017-03-30 |
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| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45501 |
Please comment or provide details below to improve the information on MATT TALBOT HOUSE, INC..
| 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.