MEDICARE: MORGAN BEHAVIORAL HEALTH CHOICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	1547	OH

General Provider Information

NPI Number	:	1639145444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN BEHAVIORAL HEALTH CHOICES

Provider Business Mailing Address
First Line	:	915 S RIVERSIDE DR NE
Second Line	:	P.O. BOX 522
City	:	MC CONNELSVILLE
State	:	OH
Zip	:	43756-9102
Country	:	US
Telephone Number	:	740-962-6933
Fax Number	:	740-962-6305

Provider Business Practice Location Address
First Line	:	915 S RIVERSIDE DR NE
Second Line	:
City	:	MC CONNELSVILLE
State	:	OH
Zip	:	43756-9102
Country	:	US
Telephone Number	:	740-962-6933
Fax Number	:	740-962-6305

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. ELAINE SHUSTER
Credential	:	LCDCIII, OCPSII
Telephone Number	:	740-962-6933

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	04/12/2012

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