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Active NPI 1083888366 Organization (Entity Type 2)

Clark County

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities • Springfield, OH

Public Directory Information & Medical Disclaimer

This facility profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or healthcare referrals. Always consult a qualified medical professional for health queries.

About Clark County NPI 1083888366 Summary

Clark County is a verified healthcare organization specializing in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities operating in Springfield, OH. Located at 2527 KENTON ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083888366.

Administrative operations and authorized compliance are overseen by Ravi Shankar (Comptroller).

The facility is associated with 9 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2527 Kenton St

Springfield, OH 455053352

Telephone 9373282675

Authorized Official Information

Authorized Contact Name

MR. Ravi Shankar

Title / Role

Comptroller

Official Telephone

9373284626

Facility Classifications & Specialties

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Taxonomy

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

9 Linked
Jessica Cary NPI 1093262016

Social Worker - Clinical

Neillsville, WI

View Practitioner Profile →
Mary Shaw NPI 1396305470

Nurse Practitioner - Family

Springfield, OH

View Practitioner Profile →

Social Worker - Clinical

Neillsville, WI

View Practitioner Profile →

Psychiatry & Neurology - Psychiatry

Menomonie, WI

View Practitioner Profile →

Family Medicine

Springfield, OH

View Practitioner Profile →

Psychologist

La Crosse, WI

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Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active April 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 17, 2008

Registered at 2527 KENTON ST, SPRINGFIELD, OH 455053352 (Tel: 9373282675)

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Updated Business Mailing Address April 17, 2008

Registered at 2527 KENTON ST, SPRINGFIELD, OH 455053352 (Tel: 9373282675)

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Organization / Clinic Name Updated April 17, 2008

Operating as CLARK COUNTY

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2008

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (License #0850155 in OH)

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Initial NPI Registration & Enumeration April 17, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
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NPI Organization Metadata

NPI Number: 1083888366
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 17, 2008
Last Update: April 17, 2008

Mailing Address

2527 Kenton St

Springfield, OH 455053352

Phone: 9373282675

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.