MEDICARE: MORGAN COUNTY BOARD OF MRDD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	251B00000X	Case Management Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1356564694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN COUNTY BOARD OF MRDD

Provider Business Mailing Address
First Line	:	155 E MAIN ST RM 306
Second Line	:
City	:	MCCONNELSVILLE
State	:	OH
Zip	:	43756-1297
Country	:	US
Telephone Number	:	740-962-4200
Fax Number	:	740-962-4435

Provider Business Practice Location Address
First Line	:	900 S RIVERSIDE DR NE
Second Line	:
City	:	MC CONNELSVILLE
State	:	OH
Zip	:	43756-9102
Country	:	US
Telephone Number	:	740-962-4200
Fax Number	:	740-962-4435

Authorized Official
Title or Position	:	BUSINESS DIRECTOR
Name	:	AMY KISSINGER
Credential	:
Telephone Number	:	740-960-4200

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	06/26/2024

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Directions to “MORGAN COUNTY BOARD OF MRDD ” Practice Location

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