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Health Plan Buckeye Health Plan CareSource Molina HealthCare of Ohio, Inc. Paramount Advantage UnitedHealthcare Community Plan of Ohio Program Medicaid Managed Care MyCare Ohio Provider Type Acupuncturist - 23 Ambulance - 82 Ambulatory Surgery Center - 46 Anesthesia Assistant Individual - 68 Audiologist Individual - 43 Behavioral Health Para-Professionals - 96 Building and Wing Identifier for Long Term Care Facilities Only - LT Certified OH Behavior Analyst - 53 Certified Registered Nurse Anesthestist (CRNA) Individual - 73 Chiropractor Individual - 27 Clinic - 50 Clinical Nurse Specialist Individual - 65 Comprehensive Primary Care (CPC) - 99 Converted Inactive Provider/Type to Support Conversion into MITS - CV Dentist Individual - 30 Dietitian - 07 Durable Medical Equipment Supplier - 76 End-Stage Renal Disease Dialysis Clinic - 59 Enhanced Care Management - 78 Eyeglass Volume Purchase Contract Vendor - 15 Federally Qualified Health Center - 12 Franchise Fee Only (Non-Medicaid Provider) - FF Free Standing Birth Center - 11 Health Maintenance Organization - 77 Help Me Grow - 06 Home and Community Based Assisted Living - 74 Hospice - 44 Hospital - 01 Imaging/Testing Facility - 79 Independent Laboratory - 80 Independent Marriage and Family Therapist - 52 Licensed Independent Chemical Dependency Counselor - 54 Managed Care Organization Panel Provider Only - 19 Medicaid School Program - 28 Medicare Certified Home Health Agency - 60 Mental Health Clinic - 51 MRDD Targeted Case Management - 85 Non-Agency Home Care Attendant - 26 Non-Agency Personal Care Aide - 25 Non-State Operated ICF-MR - 89 Nurse Midwife Individual - 71 Nurse Practitioner Individual - 72 Nursing Facility - 86 Occupational Therapist, Individual - 41 ODADAS Certified/Licensed Treatment Program - 95 Ohio Department of Mental Health (Community Mental Health) Provider - 84 Optician - 75 Optometrist Individual - 35 Other Accredited Home Health Agency - 16 Outpatient Health Facility - 04 PACE - 08 Pharmacy - 70 Physical Therapist, Individual - 39 Physician Assistant - 24 Physician/Osteopath Individual - 20 Podiatrist Individual - 36 Portable X-Ray Supplier - 81 Private Duty Nurse - 38 Professional Clinical Counselor - 47 Professional Dental Group - 31 Professional Medical Group - 21 Psychiatric Hospital - 02 Psychologist, Individual - 42 Rural Health Clinic - 05 Social Worker - 37 Speech language Pathologist Individual - 40 State of Ohio Department Agency - 93 State Operated ICF-MR - 88 Veteran Home - VH Waivered Services Individual - 55 Waivered Services Organization - 45 Wheelchair Van - 83 Facility Type Health Center Hospital Inpatient Psychiatric Facility Nursing Facility Primary Care Providers Only Yes No Provider Name (Full or Partial Name)

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Accepts Patients As Young As Accepts Patients As Old As Accepts Patients of Gender Both Female Male Provider Gender Female Male County Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery Morgan Morrow Muskingum Noble Ottawa Out-of-State Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot Hospital Affiliation Acadia Hospital Access Hospital Dayton LLC Access Hospital Dayton, LLC Acuity Specialty Hospital Ohio Valley Acute Care Spec Hospital At Aultman Acute Specialty Hosp OH Valley - Belmont Adams County Regional Medical Center Adena Health Center Adena Health Center Jackson Adena Health Center Jackson Adena Health Center Waverly Adena Regional Medical Center Adena Regional Medical Center Advanced Hospital of Toledo - Garden II Leasing Co Affinity Hospital/Trinity Medical Center Affinity Medical Center - Massilon Campus Akron Childrens Hospital Akron City Hospital Akron General Medical Center Akron General Medical Center ALECTO HEALTHCARE SERVICES MART Alecto Healthcare Svc of Fairmont/Fairmont Regiona Allen Memorial Hospital Alliance Community Hospital Alliance Community Hospital Alliance Community Hospital Arrowhead Behavioral Health LLC Arrowhead Behavioral Health LLC Arthur G.James Cancer Hospital Ashtabula County Med Center Ashtabula County Medical Ctr ASSURANCE HEALTH CINCINNATI, LL Assurance Health Cincinnati, LLC Atrium Medical Center Atrium Medical Center Aultman Health Foundation Aultman Hospital Aultman Orrville Hospital Aurora Sheboygan Mem Med Ctr Aventura Hospital and Medical Center AVERA ST MARYS HOSPITAL Avita Ontario Hospital Avon Hospital Baptist Hospital Barnesville Hosp Assn Inc. Bay Park Community Hospital BAYLOR SCOTT & WHITE MEDICAL CENTER WAXACHACHIE BEAVERCREEK MEDICAL CENTER BECKETT SPRINGS, LLC Beechwood RH LLC Bellevue Hospital Assn. Belmont Community Hospital Belmont Community Hospital Berger Hospital Bethesda Hospital Bethesda Hospital BHC Belmont Pines Hospital Bhc Belmont Pines Hospital Inc. Blanchard Valley Regional Health Center Blanchard Valley Regional Health Center Blanchard Valley Regional Health Center Finlay BOLIVAR GENERAL HOSPITAL INC BORGESS MEDICAL CENTER Bucyrus Community Hospital Butler County Medical Center Cabell Huntington Hospital Cambridge Psychiatric Hospital CAMC Charleston Area Medical Center Teays Valley Camden Clark Memorial Hospital Camden-Clark Memorial Hospital Corporation CARDINAL HILL REHABILITATION HOSPITAL Childrens Hosp Medical Ctr Akron/Akron Childrens Childrens Hospital Medical Center Childrens Hospital Medical Center Childrens Medical Center Childrens Mercy Hospital Christ Hospital City Hospital inc CLEVELAND CLINIC AVON HOSPITAL Cleveland Clinic Children's Hospital For Rehab Cleveland Clinic Health System East/Euclid Hosp Cleveland Clinic Health System East/South Pointe Cleveland Clinic Hospital CLEVELAND CLINIC REHABILIATION Clinton Memorial Hospital Columbia Hospital Palm Beaches/Columbia Hospital Columbia St Joseph's Healthcare Columbus Behavioral Health/Sun Behavioral Columbus Community Health Partners Community Hospital of Lagrange County, Inc. Community Hospital of Springfield Community Hospitals - Archbold Hospital Community Hospitals - Bryan Hospital Community Hospitals - Montpelier Hospital Community Memorial Hospital Community Mercy Health Partners Cooley Dickinson Hospital CORNERSTONE HOSP OF HNTNGTN LLC Coshocton County Memorial Hospital COSHOCTON REGIONAL MEDICAL CENTER COSHOCTON REGIONAL MEDICAL CENTER Craig & Frances Lindner Ctr/Lindner Ctr of Hope Crystal Clinic Orthopaedic Center LLC Curry General Hospital Cuyahoga Falls General Hospital CV OPERATING CO/Blueridge Vista Health & Wellness Day Surgury At Renaissance/Doctors Hosp Renaissanc Dayton Children's Hospital South Campus Dayton Heart Hospital Dayton Mental Health Center Dayton Osteopathic Hospital/Grandview Hospital DBA Laurelwood Hospital Deaconess Hospital Defiance Regional Medical Center Defiance Regional Medical Center DEKALB MEMORIAL HOSP Doctors Hospital Of Nelsonville Doctors Hospital West Drake Center Inc. Dublin Methodist hospital Dublin Springs LLC Dupont Hospital E L Bixby Medical Center East Liverpool City Hosp East Liverpool City Hospital East Ohio Regional Hospital EDEN SPRINGS HEALTHCARE CENTER Edwin Shaw Hospital for Rehab Edwin Shaw Rehab Llc. EMH Regional Medical Center EMH Regional Medical Center Euclid Hospital Evendale Medical Center Evergreen Southwest Behavioral Hospital Fairfield Medical Center Fairfield Medical Center Fairfield Medical Center Fairview Hospital Fairview Hospital Fallsview Psychiatric Hospital Fayette County Memorial Hospital Firelands Regional Medical Center - Main Campus Firelands Regional Medical Center - South Campus Firelands Regional Medical Center/Main Campus Fisher Titus Medical Center FLORIDA HOSPITAL WESLEY CHAPEL Flower Hospital Flower Hospital/ DBA Patient Accounting Fostoria Community Hospital Fulton County Health Center Fulton County Health Center Galion Community Hospital GATEWAY REHABILITATION HOSPITAL Generations Behavioral Health Youngstown LLC GENERATIONS BEHAVIORAL HEALTH-G Generations Behavioral Health-Geneva Genesis Health Care System Inc Glen Oaks Hospital Glenbeigh Hosp Of Rock Creek Good Samaritan hospital Good Samaritan Hospital Good Samaritan Hospital Good Samaritan Medical Center Grace Hospital Grady Memorial Hospital Grandview Hospital Grandview Hospital Grandview Hospital Grandview Hospital Grandview Hospital Grandview Hospital Grant Hospital Greene Memorial Hospital Greene Memorial Hospital Greenfield Area Medical Center H B Magruder Memorial Hosp Hardin Memorial Hospital Harrison Community Hospital Haven Behavioral Senior Care of dayton Healthsouth Rehabilitation Hospital of Drake, LLC HEATHER HILL REHAB HOSP Henrick Memorial Hospital Henry County Hosp Henry County Hospital Heritage Valley Beaver Heritage Valley Swickely HHC Ohio INC/DBA LAURELWOOD HOSPITAL HHC Ohio Inc/Laurelwood Hospital HHC River Park Inc/River Park Hospital HHC Toledo Inc. Highland District Hospital Highland District Hospital Highland Springs, LLC/Highland Springs Hospital Highland-Clarksburg Hospital In Hillcrest Hospital Hillsdale Community Health Center Hocking Valley Community Hosp Hocking Valley Community Hospital Holzer Hospital Foundation/ DBA Holzer Holzer Medical Center Holzer Medical Center Jackson Hunterdon Medical Center Huron Hospital Inova Mount Vernon Hospital Institute for Orthopaedic Surgery Ionia County Memorial Hospital Corporation JACKSON GENERAL HOSP Jefferson Memorial Hospital Jewish Hospital & St Mary's Hlthcare/OurLady Peace JEWISH HOSPITAL LLC Jewish Hospital Of Cincinnati JOHNSTON MEMORIAL HOSPITAL INC Joint Township District Memorial Hospital Joint Township District Memorial Hospital Kettering Medical Center Kettering Medical Center KINDRED HOSP-HERITAGE VALLEY Kindred Hospital - Cleveland Kindred Hospital-Cleveland KINDRED HOSPITAL-PITTSBURGH Kindred Hospitals East Llc. Kings Daughters Medical Center Knox Community Hospital Knox Community Hospital KOLBE II LEASING CO., LLC/Clearvista Health & Well La Palma Intercommunity Hospital Lake Hospital System/Lake Health Lake Hospital System/Lake West Lake West Hospital Lakewood Hospital Lakewood Hospital Lee Memorial Health System Licking Memorial Hospital Licking Memorial Hospital Life Care Hospitals Of Dayton Lima Memorial Hospital Lincolnway Behavioral Health Hospital Lodi Community Hospital LTAC INVESTORS LLC Lutheran Hospital Lutheran Hospital Luthern Hospital Madison County Community Hosp/Madison Health Madison County Community Hospital MADISON COUNTY MEMORIAL HOSPITAL Mahoning Valley Hospital Inc. Marietta Mem Hospital Marietta Memorial Hospital Marion General Hospital Marion General Hospital Mary Rutan Hospital Marymount Hospital Marymount Hospital INC MARYMOUNT HOSPITAL INC Massillon Psychiatric Center McCullough Hyde Memorial Hospital Meadowview Regional Medical Center Medcentral Health System - Mansfield Medcentral Health System - Shelby Hospital Medcentral Health System/DBA OH Manfield Hospital Medical Center At Elizabeth Place Medical Center of Newark Medical Universit of Ohio at Toledo Medina General Hospital Memorial Hospital MEMORIAL HOSPITAL Memorial Hospital Of Union County Memorial Hospital of Union County/DBA Memorial Hos Mental Health Serv for Clark Co Mental Health Services For Clark County Mercer County Community Hospital Mercy Franciscan Hospital Mt. Airy Mercy Franciscan Hospital Westrn Hills Mercy Franciscan HSP Western HLS Mercy Health - West Hospital Mercy Health Regional Medical Center LLC Mercy Health St Anne Hospital Mercy Health St Charles Hospital LLC MERCY HEALTH- ST. VINCENT MEDIC MERCY HEALTH YOUNGSTOWN, LLC Mercy Health Youngstown/St Elizabeth Youngstown Mercy Health-Clermont Hospital, LLC Mercy Hospital Anderson Mercy Hospital Clermont Mercy Hospital Fairfield Mercy Hospital Of Defiance Llc. Mercy Hospital of Tiffin Mercy Hospital Willard MERCY HOSPITALS WEST Mercy Medical Center Mercy Memorial Hospital Mercy Memorial Hospital Mercy Memorial Hospital Mercy St Vincent Children's Hospital MetroHealth Cleveland Heights Hospital MetroHealth Parma Hospital MetroHealth System/MetroHealth Medical Center Miami Valley Hospital Miami Valley Hospital Miami Valley Hospital South - Centerville Moberly Regional Medical Center Morrow County Hospital Moses Cone Health System Mount Carmel East Mount Carmel New Albany Mount Carmel St Ann's Mount Carmel West Mount Carmel West Mountain States Health Alliance Mt Carmel Diley Ridge Medical Center MUNSON HEALTHCARE, INC. Nationwide Children's Hospital Nationwide Children's Hospital NEMANA COUNTY HOSPITAL New Lifecare Hospitals of Dayton LLC Northcoast Behavioral Health Systems Northcoast Behavioral Healthcare NORTHEASTERN CENTER Northwest Ohio Psychiatric Hospital NORTHWEST OHIO PSYCHIATRIC HOSPITAL Norwalk Hospital NYU Hosptials Center Obleness Memorial Hospital Oglethorpe of Cambridge/Cambridge Behavioral Hosp OGLETHORPE OF MIDDLEPOINT, LLC/Ridgeview Hosp Oh Hospital for Psychiatry OH Hospital for Psychiatry Ohio Health Corporation/DBA Riverside Meth Hosp Ohio Health Rehabilitation Hospital LLC Ohio State University Hospital Ohio State University Hospital Ohio Valley Medical Center Ohio Valley Medical Center Ohio Valley Medical Center Ohio Valley Medical Center OhioHealth Shelby Hospital Orthopedic Hospital at Parkview North Our Lady of Bellefonte Hospital Palmetto Lowcountry Behavioral Health, LLC Parkview Hospital parkview huntington Parkview Lagrange Parkview Noble Parkview Whitley Parma Community General Hospital Parma Community General Hospital Pathways Center For Geriatric Psychiatry Paulding County Memorial Hospital Pauline Warfield Lewis Center Physicians Choice Hospital Fremont Physicians Medical Center Physicians Medical Center Pike Community Hospital Pleasant Valley Hospital POINEER VALLEY HOSPITAL Pomerene Hospital Pomerene Hospital Portsmouth Hospital Corporation POTOMAC VALLEY HOSPITAL OF WV, Presbyterian Medical Care Corporation PROVO CANYON BEHAVIORAL HOSPITAL Rainbow Babies Childrens RCHP-Wilmington LLC/DBA Clinton Memorial Hospital Regency Hospital Of Akron Regency Hospital Of Cincinnati Regency Hospital of Cleveland East Regency Hospital of Cleveland West Regency Hospital of Columbus LLC REGENCY HOSPITAL OF NORTH CENTR Regency Hospital of Ravenna Regency Hospital of Toledo LLC REHABILITATION HOSPITAL CORPORA REHABILITATION HOSPITAL OF NORTHWEST OHIO LLC REHABILITATION HOSPITAL OF NORTHWEST OHIO LLC Reid Hospital & Healthcare Serv/Reid Health Reid Hospital & Healthcare Services Reliant Rehabilitation Hospital Reynolds Memorial Hospital River Vista Health and Wellness, LLC Riverside Methodist Hospital Robinson Health System Inc. ROBINSON HEALTH SYSTEM, INC. Rose City HMA/Lancaster Reg Med Ctr RUSSELL COUNTY MEDICAL CENTER Saint Joseph Health Center Salem Community Hospital Samaritan Hospital SCCI Hospital - Mansfield SCCI Hospital Lima SCRIPPS MEMORIAL HOSPITAL -LA JOLLA Selby General Hospital Select specialty Hospital - Akron LLC SELECT SPECIALTY HOSPITAL - CLEVELAND, LLC SELECT SPECIALTY HOSPITAL - CLEVELAND, LLC Select Specialty Hospital - NE OH SELECT SPECIALTY HOSPITAL - NOR Select Specialty Hospital - Youngstown Warren Camp Select Specialty Hospital Akron Select Specialty Hospital Cincinnati Select Specialty Hospital Youngstown Select Specialty Hospital Zanesville Select Specialty Hospitals - Columbus Inc SEQUEL POMEGRANATE HEALTH SYSTE Sequel Pomegranate Health Systems, LLC Seton Medical Center Austin Sharon Regional Health System Shriners Hospitals for Children SHRINERS HOSPITALS FOR CHILDREN Sistersville General Hospital SOJOURN AT SENECA SOUTH III LEASING CO LLC South Pointe Hospital Southeast Ohio Regional Medical Center Southeast Psychiatric hospital Southeast Psychiatric Hospital Southern Ohio Medical Center Southview Hospital Southwest General Health Center Southwest Genereal Health Center Southwest healthcare of Brown County Ohio Specialty Hospital Of Lorain SPOONER HEALTH Springfield Regional Medical Center Springfield Regional Medical Center Springstone Inc. St Anne Mercy Hospital St Anthony Hospital St Charles Hospital St Elizabeth Boardman Health Center St Elizabeth Ft Thomas St Elizabeth Health Center St Elizabeth Healthcare Edgewood St Elizabeth Healthcare Florence St Elizabeth Healthcare Grant St Elizabeth Medical Center St Francis Rehabilitation St John Medical Center St Joseph Hospital St Lukes Hospital St Lukes Hospital East St Vincent Charity Medical CTR ST VINCENT CHARITY MEDICAL CTR St Vincent Randolph Hospital St. Marys Hospital St. Ritas Medical Center St. Ritas Medical Center St. Thomas Hospital St. Vincent Charity Hospital St. Vincent Hospital State of Ohio/TVBH Columbus Campus STEWARD HILLSIDE REHABILITATION STEWARD NORTHSIDE MEDICAL CENTE Steward Northside Medical Center Steward Northside Medical Center, INC Steward Trumbull Memorial Hospital Steward Trumbull Memorial Hospital Summa Barberton Citizens Hospital Summa Health System SUMMA HEALTH SYSTEM DBA SUMMA A SUMMA REHAB HOSPITAL, LLC Summa Western Reserve Hospital Sycamore Medical Center TEN LAKES CENTER LLC The Brook Hospital KMI THE CHILDRENS INST OF PITTS The Christ Hospital The Craig & Frances Lindner Ctr/Lindner Ctr Hope The Fort Hamilton Hospital The Fort Hamilton Hospital The Meadows Psychiatric Center The Metrohealth Systems The Ohio State University Hospital - East The Surgical Hospital at Southwoods The Surgical Hospital at Southwoods The Washington Hospital The Woods at Parkside Three Gables Surgery Center, HSA TLC Health Network Toledo Childrens Hospital Toledo Childrens Hospital Toledo Hospital Toledo Hospital Trans Healthcare Of Ohio Inc. Tri Health Hospital Inc. TRIHEALTH REHABILITATION HOSPITAL, LLC Trinity East Medical Center Trinity Hospital Holding Company Trinity Hospital Twin City Trinity West Medical Center Trintas Regional Medical Center TriPoint Medical Center UHHS - Richmond Medical Center UHHS - Bedford Medical Center UHHS - Brown Memorial Hospital UHHS - Memorial Hospital Of Geneva UHHS - Mercy Medical Center UHHS - Richmond Medical Center UHHS Geauga UHS of Pennsylvania Inc/Clarion Psych Ctr UMass Memorial Medical Ctr Union Hospital UNITED HOSPITAL CTR INC University Hospital Inc. University Hospitals Geauga Medical Center University Hospitals Ahuja Medical Center University Hospitals Avon Rehabilitation Hospital University Hospitals Cleveland Medical Center University Hospitals of Cleveland University of Cincinnati Medical Center University of Toledo Medical Center UNIVERSITY OF WASHINGTON University Pointe Surgical Hospital UPMC Horizon Hospital UPMC Horizon-Shenango Valley Campus Upper Valley Medical Center Upper Valley Medical Center Upper Valley Medical Center Van Wert County Hospital VIBRA HOSPITAL OF FORT WAYNE, LLC Vibra Hospital of Mahoning Valley Wadsworth-Rittman Hospital Warren Ohio Hospital Company WARREN OHIO HOSPITAL COMPANY Warren Ohio Rehab Hospital Co Wayne Hospital Wayne Hospital Co Weirton Medical Center West Chester Medical Center West Virginia University Hospitals Wetzel County Hospital Wheeling Hospital Wildcat Health Center Wildwood Orthopaedic/Spine Hospital Wilson Memorial Hospital Wilson Memorial Hospital Winchester Medical Center INC Wood County Hospital Wooster Community Hospital Wyandot Memorial Hospital Specialty 340B PHARMACY - 701 Abdominal Surgery - 225 ACA Primary Care (Attestation Required) - 239 Acupuncture - 023 Acute Care - 653 Addiction Medicine - 226 Addiction Psychiatry - 227 Adult Health - 651 Adult Reconstructive Orthopedics - 228 Allergy - 229 Allergy & Immunology - 203 Alternative Meals - M20 Ambulance Services - 820 Ambulatory Surgery Center - 466 Anatomic Pathology - 230 Anatomic/Clinical Pathology - 231 Anesthesia Assistant Individual - 680 Anesthesia CRNA - 730 Anethesiology - 204 Assertive Community Treatment - M07 Audiology - 430 Behavior Analyst - 530 Behavioral Health LPN - 385 Behavioral Health RN - 384 Behavioral Redirection Medical Monitoring (BRMM) - 892 Board Licensed School Psychologist - 421 Building and Wing Identifier for Long Term Care F - 879 CAFS - 130 Cancer Hospital - 003 Cardiac Catheterization Services - M42 Cardiology - 206 Cardiothoracic Surgery - 232 Cardiovascular Disease - 233 Cardiovascular Surgery - 217 Care Management Specialist - 962 Chemical Dependency Counselor Assistant - 543 Chemical Dependency Counselor II - 542 Chemical Dependency Counselor III - 541 Child & Adolescent Psychiatry - 234 Child Neurology - 235 Children Intensive Behavioral Health Services - M05 Childrens Hospital - 005 Chiro-Mechanotherapy - 271 Chiropractic Services - 270 Choices Home Care Attendant - M19 Chore Services - M14 Clin. & Lab. Dermatological Imm. - 236 Clin. & Lab. Immunology (Internal Med.) - 238 Clin. & Lab. Immunology (Pediatrics) - 237 Clinical Cardiac Electrophysiology - 241 Clinical Cytogenetics - 242 Clinical Lab.Immunology (Allerg & Imm) - 243 Clinical Neurophysiology - 244 Clinical Nurse Specialist - 650 Clinical Pathology - 245 Clinical Pharmacology - 246 Colon & Rectal Surgery - 247 Community Mental Health Medical Services - 841 Community Mental Health Professional Medicare Cro - 842 Community Transition - M16 Counselor Trainee - 472 CPC - Behavioral Health - Adult - 993 CPC - Behavioral Health - Child - 992 CPC - Behavioral Health - Child & Adult - 994 CPC - Practice Partnership - 991 CPC - Single Practice - 990 Critical Access Hospital - 010 Critical Care Med. (Anethesiology) - 249 Critical Care Med. (Internal Med.) - 251 Critical Care Med. (Neurological Sur.) - 248 Critical Care Services/Intensive Care Units - M43 Cytopathology - 252 Dental School Clinic - 506 Dermatologic Surgery - 253 Dermatology - 254 Dermatopathology (Pathology) - 255 Diabetes - 256 Diagnostic Imaging Clinic - 507 Diagnostic Radiology - 257 Distinct Part Psychiatric Unit - 007 DME Supplier - 760 DODD (Ohio Department of Developmental Disabilities) - 931 DODD (Ohio Department of Developmental Disabilities) - 934 DODD Financial Management Service - 495 DODD Waiver - 490 Dual Certified Nursing Facility Acquired Brain In - 863 Dual Certified Pediatric Nursing Facility Outlier - 861 Dual Certified Religious Non-medical Health Care - 865 Dual Certified Skilled Nursing Facility - 860 Dual Certified Super Skilled Nursing Facility Out - 862 Dual Licensed Dentist and Licensed MD/DO. - 555 DYS (Ohio Department of Youth Services) - 935 Emergency Medicine - 224 Endocrinology/Diabetes & Metabolism - 258 Endodontics - 302 End-Stage Renal Disease Clinic - 590 Enhanced Care Management - 780 Enhanced Community Living - M09 Epidemiology - 259 Eyeglass Lab Services - 015 Facial Plastic Surgery - 261 Family Planning Clinic - 503 Family Practice - 207 Fixed-Wing Air Ambulance - 822 Foot & Ankle, Orthopedics - 262 FQHC Chiropractic - 128 FQHC Dental - 122 FQHC Medical - 121 FQHC Mental Health - 123 FQHC Physical Therapy - 124 FQHC Podiatry - 126 FQHC Speech Therapy and Audiology - 125 FQHC Transportation - 129 FQHC Vision - 127 Free Standing Birth Center - 110 Freestanding Radiation Treatment Center - 792 Gastroenterology - 208 General Dentistry - 300 General Hospital - 001 General Practice - 201 General Preventive Medicine - 263 General Surgery - 202 Geriatric - 216 Geriatric Psychiatry - 264 Ground Ambulance - 821 Gynecological Oncology - 223 Gynecology - 219 Hand Surgery - 265 HCBS Assisted Living - 740 Head & Neck Surgery - 266 Health Home - 843 Health Home Spa2 - 844 Health Maintenance Organization - 770 Hearing and Speech Clinic - 504 Heart Transplant Program - M61 Heart/Lung Transplant Program - M62 Help Me Grow - 060 Hematology - 267 Hematology/Oncology - 218 Hepatology - 268 Home Care Services Facilitator - 131 Home Infusion Pharmacy - 702 Home Medical Equipment - M12 Homemaker - M10 Hospice - 440 Hospital - 775 IMD - 018 Immunology - 269 Immunopathology - 470 Independent Diagnostic Testing Facility (IDTF) - 790 Independent Laboratory - 800 Independent Living - M15 Infectious Disease - 356 Inpatient Psychiatric Facility Services - M50 Intensive Home Based Treatment - M06 Internal Medicine - 209 Internal Medicine/Pediatrics - 274 IPSS-SE - 964 Kidney Transplant Program - M64 Level 2 Nursery - 008 Level 3 Nursery - 009 Licensed Independent Chemical Dependency Counselor - 540 Licensed Independent Marriage and Family Therapist - 520 Licensed Independent Social Worker - 370 Licensed Marriage/Family Counselor - 521 Licensed Professional Clinical Counselor - 474 Licensed Professional Counselor - 471 Licensed Social Worker - 371 Liver Transplant Program - M65 Local Government (County) Operated ICF-MR - 891 LPN - ODJFS Waiver Home Care Nursing - 383 LPN - Private Duty Nursing - 382 LTACH (Long Term Care Acute Hospital) - 002 LTC Pharmacy - 703 Lung Transplant Program - M66 Major Teaching Hospital - 006 Mammography Supplier - 791 Marriage/Family Counselor Trainee - 522 Maternal & Fetal Medicine - 275 Maxillofacial Radiology - 276 Maxillofacial Surgery - 273 MCO Provider Only (Managed Care Organization Provi - 190 Mechanotherapy - 272 Medicaid Only Nursing Facility - 870 Medicaid Only Religious Non-Medical Healthcare In - 875 Medicaid School Program - 280 Medical Toxicology (Emer. Medicine) - 277 Medical Toxicology (Pediatrics) - 278 Medical Toxicology (Prevent. Medicine) - 279 Medicare Certified Home Health Agency - 600 Medicare Certified Home Health Agency JFS Waiver - 601 Medicare Exempt - 995 MRDD Targeted Case Management - 850 Multi-Dependent/Other Licensure - 699 Multi-Independent Licensure - 399 Musculoskeletal Oncology - 281 Neonatal-Perinatal Medicine - 282 Nephrology - 283 Neurological Surgery - 211 Neurology - 210 Neurology/Diag Rad/ - 284 Neuropathology - 285 Neuroradiology - 286 Non-Agency Home Care Attendant - 260 Non-IMD - 019 Nuclear Medicine - 287 Nuclear Radiology - 288 Nurse Midwife - 710 Nurse Practitioner - 720 Nursing Facility - 777 Nutrition - 289 Nutritional Consultation - M22 Obstetrics - 290 Obstetrics & Gynecology - 212 Occupational Medicine - 291 Occupational Therapy - 410 ODA (Ohio Department of Aging) - 930 ODA Waiver - 480 ODADAS (Ohio Department of Alcohol and Drug Addiction Services) - 933 ODADAS Certified/Licensed Treatment Program - 950 ODADAS Methadone program - 951 ODJFS Waiver - 450 ODJFS Waiver Adult Day Health - 452 ODJFS Waiver Emergency Response System - 457 ODJFS Waiver Home Delivered Meals - 455 ODJFS Waiver Minor Home Modifications - 454 ODJFS Waiver Out of Home Respite - 456 ODJFS Waiver Supplemental Adaptive and Assistive - 453 ODJFS Waiver Supplemental Transport Services - 451 ODMH (Ohio Department of Mental Health) - 932 ODMH Community Health Agency - 840 OHF Dental - 041 OHF Lab - 046 OHF Medical - 040 OHF Mental Health - 042 OHF Physical Therapy - 043 OHF Speech Therapy - 044 OHF Transportation - 048 OHF Vision - 045 OHF X-Ray - 047 OMHAS-Mental Health - M17 Oncology - 220 Opioid Treatment Program - 953 Opthalmology - 292 Optical Company - 751 Optometry - 350 Optometry School Clinic - 505 Oral Surgery - 303 ORCB Licensed DME Supplier - 761 Orthodontics - 304 Orthopedic Surgery - 293 Orthopedic Surgery Of The Spine - 294 Orthopedic Trauma - 295 Orthotics and Prosthetics - 762 Osteopathic Manipulative Medicine - 296 Other - 308 Other Accredited Home Health Agency - 160 Other Accredited Home Health Agency JFS Waiver Ser - 161 Other Mental Health Clinic - 511 Otolaryngology - 205 Otology/neurotology - 297 Out-of-State Drug and Alcohol Treatment Center - 512 Outpatient Infusion/Chemotherapy - M57 PACE - 080 Pain Medicine - 298 Palliative Care - 652 Palliative Medicine - 299 Pancreas Transplant Program - M67 Pediatric - 215 Pediatric Allergy - 320 Pediatric Cardiology - 321 Pediatric Critical Care Medicine - 322 Pediatric Dentistry - 305 Pediatric Emergency Medicine - 323 Pediatric Endocrinology - 324 Pediatric Gastroenterology - 325 Pediatric Hematology/Oncology - 326 Pediatric Infectious Disease - 327 Pediatric Nephrology - 328 Pediatric Ophthalmology - 329 Pediatric Orthopedics - 330 Pediatric Otolaryngology - 331 Pediatric Pathology - 332 Pediatric Pulmonology - 333 Pediatric Radiology - 334 Pediatric Rheumatology - 335 Pediatric Surgery - 336 Pediatric Urology - 337 Pediatric Ventilator Outlier - 893 Peer Recovery Supporter - 963 Peer Services - 852 Periodontics - 306 Personal Care - Agency - M08 Personal Care Services - 250 Pest Control - M13 Pharmacy - 700 Physical Medicine & Rehabilitation - 338 Physical Therapy - 391 Physician Assistant - 240 Physician/Osteopath Individual - 200 Plastic Surgery - 339 Podiatry - 360 Portable X-Ray Services - 815 Primary Care Clinic - 500 Privately Operated ICF-MR - 890 Proctology - 340 Professional Dental Group - 309 Professional Medical Group - 021 Prosthodontics - 307 PSYCH - 996 Psychiatric - 213 Psychiatric Hospital - 776 Psychoanalysis - 341 Psychology - 420 Psychology Assistant - 423 Psychology Intern - 424 Psychology Trainee - 422 Public Health & Gen Preventive Med - 342 Public Health Clinic - 501 Pulmonary Critical Care Medicine - 343 Pulmonary Disease - 214 Qualified MH Specialist - 960 Qualified MH Specialist 3 - 961 Radiation Oncology - 222 Radioisotopic Pathology - 344 Radiology - 345 Recovery Mgmt Services Vendor - 845 Registered Dietitian Nutritionist - 070 Rehabilitation Clinic - 502 Rehabilitation Hospital - 004 Remittance Advice Provider Type - 133 Reproductive Endocrinology - 346 Rheumatology - 347 RN-ODJFS Waiver Home Care Nursing - 381 RN-Private Duty Nursing - 380 Rotary-Wing Air Ambulance - 823 Rural Health Clinic Medical - 050 Selective Pathology - 348 Sleep Medicine - M03 Social Work Counseling - M11 Social Worker Assistant - 373 Social Worker Trainee - 372 Solo Practice Optician - 750 Specialty Pharmacy - 704 Speech Language Pathology/Therapy - 400 Speech Therapy Support - 132 Spinal Cord Injury - 349 Sports Medicine (Emer. Med.) - 351 Sports Medicine (Family Practice) - 352 Sports Medicine (Internal Medicine) - 353 Sports Medicine (Orthopedic Surgery) - 354 Sports Medicine (Pediatrics) - 355 State Operated ICF-MR - 881 State Operated ICF-MR Developmental Center - 880 SUD Residential Facility - 954 Supported Employment - 851 Surgical Critical Care (Surgery) - 357 Surgical Oncology - 221 Surgical Services (Outpatient or ASC) - M45 TDD Waiver Limited - 491 Thoracic Surgery - 358 Transplant Surgery - 359 Trauma Surgery - 361 Unspecified - 362 Urology - 363 Vascular & Interventional - 364 Vascular Surgery - 365 Veteran Home (Dual or Medicaid only) - 940 Water Ambulance - 824 Wheelchair Van - 830 Language Acehnese Afrikaan Albanian Amharic Arabic Armenian Assamese Basque Belorussian Bengali Bosnian Bulgarian Burmese Cambodian Chinese/Cantonese Chinese/Mandarin Creole (Haiti Fr) Croation Czech Danish Dutch English Estonian Farsi Finnish Flemish French German Greek Guarani Gujarati Haitian Hebrew Hindi Hmong Hungarian Ibo Icelandic Indonesian Italian Japanese Kannada Khmer Korean Kurdish (Northern Iraq) Kurdish (Southern Iraq) Laotian/Lao Latvian Lithuanian Macedonian Malay Malayalam Marathi Mon-Khmer Norwegian Other Pakistan Pashto/Pushtu Persian Polish Portuguese Portuguese Creole Punjabi/Panjabi Romanian Russian Serbian Sign Language Sinhalese Slovak Slovene Somali Spanish Swahili Swedish Tagalog (Philippines) Taiwainese Tamil Telugu Thai Tigenya Turkish Ukrainian Urdu Vietnamese Yiddish Yoruba Accepts New Patients Yes No Accept Newborns Yes No Accepts Pregnant Women Yes No