Basic Information
| Provider Information | |||||||||
| NPI: | 1376512731 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTURY HEALTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1918 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458403818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194255050 | ||||||||
| FaxNumber: | 4194208015 | ||||||||
| Practice Location | |||||||||
| Address1: | 1918 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458403818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194255050 | ||||||||
| FaxNumber: | 4194208015 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2006 | ||||||||
| LastUpdateDate: | 04/29/2014 | ||||||||
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| AuthorizedOfficialLastName: | FREY | ||||||||
| AuthorizedOfficialFirstName: | CAROL | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | FINANCE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4194255050 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0405X | 1290 | OH | N | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | 261QM0801X | 0108 | OH | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
ID Information
| ID | Type | State | Issuer | Description | 0004593201 | 01 | OH | AETNA | OTHER | 2341666 | 05 | OH | MEDICAID | 2863987 | 05 | OH | MEDICAID | 356046000 | 01 | OH | DEPARTMENT OF LABOR WC | OTHER | 249029000 | 01 | OH | MAGELLAN | OTHER |