institution
Dr Gina Reghetti Do Pc Inc
Substance Use Disorder Rehabilitation Clinic/Center in Warren, Ohio
NPI 1841569902

Dr Gina Reghetti Do Pc Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Warren, OH and is specialized in Rehabilitation, Substance Use Disorder. Dr Gina Reghetti Do Pc Inc practices in Warren, OH. The NPI Number for Dr Gina Reghetti Do Pc Inc is 1841569902 and holds a License No. 34-006816-R (Ohio).

The current practice location address for Dr Gina Reghetti Do Pc Inc is The 110 Building, Warren, OH and can be reached out via phone at 330-847-3334 and via fax at 330-847-9301.

Location: The 110 Building, Warren, OH, 44483-1118
institution
Provider Profile Details
NPI Number
1841569902
Provider Name
Dr Gina Reghetti Do Pc Inc
Credential
Provider Entity Type
Organization
Address
The 110 Building, Warren, OH, 44483-1118
Phone Number
330-847-3334
Fax Number
330-847-9301
Provider Enumeration Date
12/19/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000012833-00 01 OH OHIO BUREAU OF WORKERS' COMPENSATION CERTIFIED
34-006816-R 01 OH STATE OF OHIO MEDICAL LICENSE # 34-006816-R
2174418 05 OH
36D2026176 01 OH CLIA WAIVER CERTIFICATE # 36D2026176 ACUTE OPIOID DETOX CLINIC, U.S.A.
8873 01 IL AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS BOARD CERTIFICATION
RE 4018311 01 OH MEDICARE
064509 01 OH AOA # AMERICAN OSTEOPATHIC ASSOCIATION ID# 064509
H051310 01 OH MEDICARE ID AS OF 7-17-2013
institution
Provider Business Practice Location Address Details
Address
The 110 Building
City
State
Zip
44483-1118
Phone Number
330-847-3334
Fax Number
330-847-9301
person
Provider Business Mailing Address Details
Address
The 110 Building
City
State
Zip
44483-1118
Phone Number
330-847-3334
Fax Number
330-847-9301
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
34-006816-R (Ohio)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
34-006816-R (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
34-006816-R (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
34-006816-R (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
34-006816-R (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
34-006816-R (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
34-006816-R (Ohio)
Definition
Definition to come...
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