Provider Demographics
NPI:1093888752
Name:HEALTHIER BEGINNINGS HENRY COUNTY
Entity type:Organization
Organization Name:HEALTHIER BEGINNINGS HENRY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BORDENKIRCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-592-4015
Mailing Address - Street 1:11644 STATE ROUTE 424 STE 105
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-8002
Mailing Address - Country:US
Mailing Address - Phone:419-591-3857
Mailing Address - Fax:419-591-3850
Practice Address - Street 1:11644 STATE ROUTE 424 STE 105
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-8002
Practice Address - Country:US
Practice Address - Phone:419-591-3857
Practice Address - Fax:419-591-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH270733261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2395895Medicaid