Provider Demographics
NPI:1336160118
Name:TASC OF SOUTHEAST OHIO
Entity Type:Organization
Organization Name:TASC OF SOUTHEAST OHIO
Other - Org Name:WASHINGTON COUNTY TASC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-441-2924
Mailing Address - Street 1:499 JACKSON PIKE
Mailing Address - Street 2:PO BOX 88
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1398
Mailing Address - Country:US
Mailing Address - Phone:740-441-2924
Mailing Address - Fax:740-441-2970
Practice Address - Street 1:329 3RD ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2902
Practice Address - Country:US
Practice Address - Phone:740-376-6454
Practice Address - Fax:740-376-6457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management