APPLEGATE HEALTH SERVICES INC NPI 1205473725

NPI Information

NPI: 1205473725
Provider Name: APPLEGATE HEALTH SERVICES, INC

Doing Business As: APPLEGATE RECOVERY BRIDGEPORT

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
27 TROVATO ST STE 103
BRIDGEPORT, WV
ZIP 26330
Phone: (214) 379-3300
Get Directions

APPLEGATE HEALTH SERVICES, INC is an addiction medicine family medicine in Bridgeport, WV. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. APPLEGATE HEALTH SERVICES, INC NPI is 1205473725. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Applegate Recovery Bridgeport.

The provider's business location address is:

27 TROVATO ST STE 103
BRIDGEPORT, WV
ZIP 26330-286
Phone: (214) 379-3300
Fax: (214) 853-9018

The provider's authorized official is Genco D'andria .
The authorized official title is Cfo and has the following contact phone number (214) 379-3300.

The enumeration date for this NPI number is 12/3/2019 and was last updated on 1/12/2021.

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
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

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: 11/14/2023

NPI Synchronization or Removal

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