Provider Demographics
NPI:1548763022
Name:THE VILLAGE NETWORK INC
Entity Type:Organization
Organization Name:THE VILLAGE NETWORK INC
Other - Org Name:THE VILLAGE NETWORK/BRITE FUTURES - WHEELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-202-3860
Mailing Address - Street 1:2000 NOBLE DR
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-5353
Mailing Address - Country:US
Mailing Address - Phone:330-264-3232
Mailing Address - Fax:330-202-3880
Practice Address - Street 1:53 14TH ST STE 700
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3423
Practice Address - Country:US
Practice Address - Phone:740-526-0204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE VILLAGE NETWORK INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-12
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)