| Springvale Health Centers, Inc. | |
|
201 Hospital Dr Dover OH 44622-2058 | |
| (330) 343-6631 | |
| (330) 343-8188 |
| Full Name | Springvale Health Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 Hospital Dr, Dover, Ohio |
| Authorized Official Name and Position | Joseph J Boroski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3303436631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springvale Health Centers, Inc. 201 Hospital Dr Dover OH 44622-2058 Ph: (330) 343-6631 | Springvale Health Centers, Inc. 201 Hospital Dr Dover OH 44622-2058 Ph: (330) 343-6631 |
| NPI Number | 1427224609 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427224609 | NPI | - | NPPES |
| 10071 | Other | OH | MACSIS NO |
| 2597944 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Springvale Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 | |
Springvale Health Centers, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
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