Provider Type Icon

DAYTON PAIN CENTER LLC NPI 1205349362


NPI Information

NPI: 1205349362
Provider Name: DAYTON PAIN CENTER LLC

Doing Business As: WRIGHT PATH RECOVERY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D1096643

Address:
1 ELIZABETH PL STE D
DAYTON, OH
ZIP 45417
Phone: (937) 723-8185
Get Directions

DAYTON PAIN CENTER LLC is a rehabilitation and substance use disorder clinic center in Dayton, OH. DAYTON PAIN CENTER LLC NPI is 1205349362. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wright Path Recovery.

The provider's business location address is:

1 ELIZABETH PL STE D
DAYTON, OH
ZIP 45417-445
Phone: (937) 723-8185
Fax: (937) 222-9665

The provider's authorized official is Robert Grant Goodwin .
The authorized official title is Practice Manager and has the following contact phone number (937) 530-0291.

The CLIA number assigned to this NPI record is 36D1096643 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207LA0401XAnesthesiologyAddiction MedicineNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM2500XClinic/CenterMedical SpecialtyNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12442968MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.