| Ohioguidestone | |
| 
					202 East Bagley Road Berea OH 44017-2058  | |
| (800) 234-2006 | |
| (440) 260-8305 | 
| Full Name | Ohioguidestone | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 202 East Bagley Road, Berea, Ohio | 
| Authorized Official Name and Position | Margie Ziemski (CREDENTIALING SPECIALIST) | 
| Authorized Official Contact | 4402608327 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ohioguidestone 434 Eastland Road Berea OH 44017-2058 Ph: (800) 234-2006  | Ohioguidestone 202 East Bagley Road Berea OH 44017-2058 Ph: (800) 234-2006  | 
| NPI Number | 1174680557 | 
|---|---|
| Provider Enumeration Date | 01/03/2007 | 
| Last Update Date | 06/01/2021 | 
| Certification Date | 05/27/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174680557 | NPI | - | NPPES | 
| 2847067 | Medicaid | OH | |
| 3139955 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary | 
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Ohioguidestone Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 800-234-2006 Fax: 440-260-8305  |