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PHOENIX PROGRAMS INC. NPI 1265757991


NPI Information

NPI: 1265757991
Provider Name: PHOENIX PROGRAMS, INC.

Doing Business As: PHOENIX HEALTH PROGRAMS

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
90 E LESLIE LN
COLUMBIA, MO
ZIP 65202
Phone: (573) 875-8880
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PHOENIX PROGRAMS, INC. is a substance abuse rehabilitation facility in Columbia, MO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PHOENIX PROGRAMS, INC. NPI is 1265757991. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Health Programs.

The provider's business location address is:

90 E LESLIE LN
COLUMBIA, MO
ZIP 65202-535
Phone: (573) 875-8880
Fax: (573) 442-3830

The provider's authorized official is Laura Lynne Cameron .
The authorized official title is Veterans Specialist and has the following contact phone number (573) 875-8880.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 5/5/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1261QR0405XMEDICAIDMISSOURI
2324500000XOTHERMISSOURIPRIVATE INSURANCE

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

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