Provider Demographics
NPI:1831226182
Name:COUNTY OF RICHLAND
Entity type:Organization
Organization Name:COUNTY OF RICHLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:G
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:419-774-4222
Mailing Address - Street 1:255 HEDGES ST
Mailing Address - Street 2:NEWHOPE THERAPY SERVICES REHAB WING
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44902-8611
Mailing Address - Country:US
Mailing Address - Phone:419-774-4235
Mailing Address - Fax:419-774-4375
Practice Address - Street 1:255 HEDGES ST
Practice Address - Street 2:NEWHOPE THERAPY SERVICES REHAB WING
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902-8611
Practice Address - Country:US
Practice Address - Phone:419-774-4235
Practice Address - Fax:419-774-4375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01249225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0773113Medicaid