Healthcare Provider Details
I. General information
NPI: 1548763022
Provider Name (Legal Business Name): THE VILLAGE NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2018
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
53 14TH ST STE 700
WHEELING WV
26003-3423
US
IV. Provider business mailing address
2000 NOBLE DR
WOOSTER OH
44691-5353
US
V. Phone/Fax
- Phone: 740-526-0204
- Fax:
- Phone: 330-264-3232
- Fax: 330-264-3879
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHERYL
S
RODMAN
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 330-439-8492