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PINNACLE TREATMENT CENTERS OH-VI LLC NPI 1043726797


NPI Information

NPI: 1043726797
Provider Name: PINNACLE TREATMENT CENTERS OH-VI, LLC

Doing Business As: COVEDALE TREATMENT SERVICES

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 36D2139324

Address:
5122 GLENCROSSING WAY
CINCINNATI, OH
ZIP 45238
Phone: (513) 827-9044
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PINNACLE TREATMENT CENTERS OH-VI, LLC is a methadone clinic center in Cincinnati, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PINNACLE TREATMENT CENTERS OH-VI, LLC NPI is 1043726797. The provider is registered as an organization entity type.
The provider Is Doing Business As Covedale Treatment Services.

The provider's business location address is:

5122 GLENCROSSING WAY
CINCINNATI, OH
ZIP 45238-361
Phone: (513) 827-9044
Fax: (513) 827-1332

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

The CLIA number assigned to this NPI record is 36D2139324 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2017 and was last updated on 12/18/2017.


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
1261QM2800XClinic/CenterMethadoneYes

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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