PINNACLE TREATMENT SERVICES OF ROANOKE LLC NPI 1205486222

NPI Information

NPI: 1205486222
Provider Name: PINNACLE TREATMENT SERVICES OF ROANOKE, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 49D2171680

Address:
5335 PETERS CREEK RD NW
ROANOKE, VA
ZIP 24019
Phone: (540) 900-7900
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PINNACLE TREATMENT SERVICES OF ROANOKE, LLC is a rehabilitation and substance use disorder clinic center in Roanoke, VA. PINNACLE TREATMENT SERVICES OF ROANOKE, LLC NPI is 1205486222. The provider is registered as an organization entity type.

The provider's business location address is:

5335 PETERS CREEK RD NW
ROANOKE, VA
ZIP 24019-849
Phone: (540) 900-7900
Fax: (540) 759-7867

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Of Contract Mana and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 49D2171680 - other - alcohol & drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2019 and was last updated on 1/23/2024.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	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: 4/28/2024

NPI Synchronization or Removal

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