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NPI Code Detail

MEDICARE: ALLWELL BEHAVIORAL HEALTH SERVICES

MEDICARE: ALLWELL BEHAVIORAL HEALTH SERVICES
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
1101YM0800XMental Health Counselor
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1233414000OTHEROHMAGELLAN FACILITY PIN

General Provider Information

NPI Number : 1790753663
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLWELL BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 2845 BELL ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1720
Country : US
Telephone Number : 740-454-9766
Fax Number : 740-588-6452
Provider Business Practice Location Address
First Line : 2500 JOHN GLENN HWY
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-9028
Country : US
Telephone Number : 740-439-4428
Fax Number : 740-439-3389
Authorized Official
Title or Position : PRESIDENT & CEO
Name : JAMES A MCDONALD
Credential : MA
Telephone Number : 740-454-9766
Provider Enumeration Date : 03/08/2006
Last Update Date : 04/26/2018

Similar Medicare Providers

1366410102 — LAURA D JOHNSTON LISW
Practice Location Address:
2500 JOHN GLENN HWY
CAMBRIDGE, OH
43725-9028
Practice Phone: 740-454-9766
Practice Fax: 740-588-6452
1710956594 — STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING
Practice Location Address:
2510 JOHN GLENN HWY
CAMBRIDGE, OH
43725-9028
Practice Phone: 740-439-1371
Practice Fax: 740-432-7567
1962618967 — JENNIFER MAGDALENE AULT MSW, LISW
Practice Location Address:
2500 JOHN GLENN HWY
CAMBRIDGE, OH
43725-9028
Practice Phone: 740-439-4428
Practice Fax: 740-439-3389
1730456294 — KAREN SUE WHEATLEY LSW
Practice Location Address:
2500 JOHN GLENN HWY
CAMBRIDGE, OH
43725-9028
Practice Phone: 740-454-9766
Practice Fax: 740-588-6452
1356605166 — WILLIAM F MCPEEK LSW
Practice Location Address:
2500 JOHN GLENN HWY
CAMBRIDGE, OH
43725-9028
Practice Phone: 740-439-4428
Practice Fax: 740-439-3389
1386995967 — ERIN MICHELLE DEMKOWICZ LISW
Practice Location Address:
2500 JOHN GLENN HWY
CAMBRIDGE, OH
43725-9028
Practice Phone: 740-439-4428
Practice Fax: 740-439-3389

Directions to “ALLWELL BEHAVIORAL HEALTH SERVICES ” Practice Location

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