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NPI Code Detail

MEDICARE: BEHAVIORAL CONNECTIONS OF WOOD COUNTY INC.

MEDICARE: BEHAVIORAL CONNECTIONS OF WOOD COUNTY INC.
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
1251B00000XCase Management Agency0318OH
2261QE0002XEmergency Care Clinic/Center0318OH
3261QM0850XAdult Mental Health Clinic/Center0318OH
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0318OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110348OTHEROHMACSIS UPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962460048
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL CONNECTIONS OF WOOD COUNTY INC.
Provider Business Mailing Address
First Line : PO BOX 29
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-0029
Country : US
Telephone Number : 419-352-5387
Fax Number : 419-352-6033
Provider Business Practice Location Address
First Line : 1010 N PROSPECT ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-1335
Country : US
Telephone Number : 419-352-5387
Fax Number : 419-352-9605
Authorized Official
Title or Position : CFO
Name : MR. JAMES F BECK
Credential : CGFM
Telephone Number : 419-352-5387
Provider Enumeration Date : 05/01/2006
Last Update Date : 03/06/2008

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1811609332 — ANTHONY MICHAEL COUTURIER LPC
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1366480576 — DAVID GERALD ZICK M.D.
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1447478367 — PATRICK T. GHASTER L.P.C.C.
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BOWLING GREEN, OH
43402-1335
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1568654242 — MR. DONALD JOSEPH HUPP JR. LISW
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1306024898 — ANGELA MARIA MOORE MA,LSW
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