| Child Health Services Of Portage County | |
|
449 S Meridian St Ravenna OH 44266-2914 | |
| (330) 297-5437 | |
| (330) 297-4556 |
| Full Name | Child Health Services Of Portage County |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 449 S Meridian St, Ravenna, Ohio |
| Authorized Official Name and Position | Ruth Carnes (DIRECTOR) |
| Authorized Official Contact | 3302975437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Health Services Of Portage County 449 S Meridian St Ravenna OH 44266-2914 Ph: (330) 297-5437 | Child Health Services Of Portage County 449 S Meridian St Ravenna OH 44266-2914 Ph: (330) 297-5437 |
| NPI Number | 1942397591 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942397591 | NPI | - | NPPES |
| 0453049 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 0453049 (Ohio) | Primary |
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