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Basic Health Plan / Provider Info
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
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Inpatient Psychiatric Facility
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Accepts Patients As Young As
Accepts Patients As Old As
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Provider Gender
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County
Adams
Allen
Ashland
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Athens
Auglaize
Belmont
Brown
Butler
Carroll
Champaign
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Clinton
Columbiana
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Cuyahoga
Darke
Defiance
Delaware
Erie
Fairfield
Fayette
Franklin
Fulton
Gallia
Geauga
Greene
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Hancock
Hardin
Harrison
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Highland
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Holmes
Huron
Jackson
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Knox
Lake
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Logan
Lorain
Lucas
Madison
Mahoning
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Medina
Meigs
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Miami
Monroe
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Ottawa
Out-of-State
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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/Cleveland Clinic Akro
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/OSU Harding
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
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Accepts Pregnant Women
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