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NPI Code Detail

MEDICARE: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING

MEDICARE: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
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
1283Q00000XPsychiatric HospitalNA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194799114
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Provider Business Mailing Address
First Line : 30 E BROAD ST
Second Line : 11TH FL, ATTN:TONYA FASONE
City : COLUMBUS
State : OH
Zip : 43215-3414
Country : US
Telephone Number : 614-466-9930
Fax Number : 614-644-9116
Provider Business Practice Location Address
First Line : 1756 SAGAMORE RD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-1086
Country : US
Telephone Number : 330-467-7131
Fax Number : 330-467-2420
Authorized Official
Title or Position : CEO
Name : MR. DAVE COLLETTI
Credential :
Telephone Number : 330-467-7131
Provider Enumeration Date : 02/15/2006
Last Update Date : 10/06/2010

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Directions to “STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING ” Practice Location

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