| Tcmh&cs | |
|
90 Hospital Dr Athens OH 45701-2301 | |
| (740) 592-3091 | |
| Not Available |
| Full Name | Tcmh&cs |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 90 Hospital Dr, Athens, Ohio |
| Authorized Official Name and Position | George P Weigly (CEO) |
| Authorized Official Contact | 7405923091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcmh&cs 90 Hospital Dr Athens OH 45701-2301 Ph: (740) 592-3091 | Tcmh&cs 90 Hospital Dr Athens OH 45701-2301 Ph: (740) 592-3091 |
| NPI Number | 1154682763 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154682763 | NPI | - | NPPES |
| MC040100 | Other | OH | COMMUNITY MENTAL HEALTH MEDICAID CONTRACT NUMBER |
| TR9170481 | Other | OH | MEDICARE |
| TR9170483 | Other | OH | MEDICARE |
| 1018 | Other | OH | MACSIS UPIN |
| TR9170482 | Other | OH | MEDICARE |
| 0200437 | Medicaid | OH | |
| 1538148945 | Other | OH | MH NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 193200000X (Ohio) | Primary |
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