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Ohio Department of Mental Retardation and Developmental Disabilities

Intellectual Disabilities Intermediate Care Facility in Gallipolis, OH · enumerated 2007 · authorized official Kevin Davis, Superintendent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962544635

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Registry record

Entity type Organization (Type 2)
Legal business name Ohio Department of Mental Retardation and Developmental Disabilities
Other name <Unavail>
Practice address 2500 Ohio Ave, Gallipolis, OH, 45631
Phone (740) 446-1642
Fax (740) 446-1341
Enumeration date Feb 12, 2007
Last updated in NPPES Feb 11, 2009

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kevin Davis
Title Superintendent
Phone (740) 446-1642

Other identifiers

Identifier Type State Issuer
0136025 Medicaid OH -
0280799 Medicaid OH -
0372618 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-02-11. Verify at npiregistry.cms.hhs.gov.
Where is Ohio Department of Mental Retardation and Developmental Disabilities located?
The practice location on file with NPPES is in Gallipolis, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-11.