Organization · NPI-2
City Of Portsmouth
Community/Behavioral Health · Portsmouth, OH
NPI number1760923254
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1760923254
- Entity type
- Organization (NPI-2)
- Legal business name
- City Of Portsmouth
- Organization subpart
- No
- Enumeration date
- Mar 16, 2017
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 14163 | OH | Yes |
Other names
- Portsmouth City Health Department (Doing Business As)
Practice location
605 Washington StPortsmouth, OH 45662-3919
Phone 740-353-5153 · Fax 740-354-7854
Mailing address
605 Washington StPortsmouth, OH 45662-3919
Phone 740-353-5153 · Fax 740-354-7854
Authorized official
Michael Martin
Medical Director
7403548944
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