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CLERMONT RECOVERY CENTER INC. NPI 1366458465


NPI Information

NPI: 1366458465
Provider Name: CLERMONT RECOVERY CENTER, INC.
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 36D2279932

Address:
1074 WASSERMAN WAY
BATAVIA, OH
ZIP 45103
Phone: (513) 735-5510
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CLERMONT RECOVERY CENTER, INC. is a public health or welfare in Batavia, OH. CLERMONT RECOVERY CENTER, INC. NPI is 1366458465. The provider is registered as an organization entity type.

The provider's business location address is:

1074 WASSERMAN WAY
BATAVIA, OH
ZIP 45103-911
Phone: (513) 735-5510
Fax: (513) 735-8157

The provider's authorized official is Steven M Goldsberry .
The authorized official title is President/ceo and has the following contact phone number (513) 735-8100.

The CLIA number assigned to this NPI record is 36D2279932 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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