Provider Demographics
NPI:1194027557
Name:ADAMS BROWN COUNTIES ECONOMIC OPPT INC
Entity Type:Organization
Organization Name:ADAMS BROWN COUNTIES ECONOMIC OPPT INC
Other - Org Name:ABCAP OR BROWN COUNTY, CHILD & FAMILY HEALTH CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:DEPUTY DIRECTOR, ABCEOT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-378-6041
Mailing Address - Street 1:406 W. PLUM STREET
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121
Mailing Address - Country:US
Mailing Address - Phone:937-378-6041
Mailing Address - Fax:937-378-2321
Practice Address - Street 1:406 W. PLUM STREET
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121
Practice Address - Country:US
Practice Address - Phone:937-378-6041
Practice Address - Fax:937-378-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0360069Medicaid