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LODESTAR LLC NPI 1740958065


NPI Information

NPI: 1740958065
Provider Name: LODESTAR, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 51D2269141

Address:
1402 4TH AVE
HUNTINGTON, WV
ZIP 25701
Phone: (304) 529-4276
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LODESTAR, LLC is a rehabilitation and substance use disorder clinic center in Huntington, WV. LODESTAR, LLC NPI is 1740958065. The provider is registered as an organization entity type.

The provider's business location address is:

1402 4TH AVE
HUNTINGTON, WV
ZIP 25701-403
Phone: (304) 529-4276
Fax: (304) 529-4278

The provider's authorized official is Brandon Varney .
The authorized official title is Executive Director and has the following contact phone number (304) 730-5543.

The CLIA number assigned to this NPI record is 51D2269141 - other - behavioral hlth outpatien with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

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