BHG LXXXV LLC NPI 1114632288

NPI Information

  • NPI: 1114632288
  • Provider Name: BHG LXXXV, LLC
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Doing Business As: BHG MEDICAL SERVICES - ARIZONA
  • CLIA Number: 03D2303251
  • Address: 2123 E. SOUTHERN AVENUE
    OBOT ROOM #100
    TEMPE, AZ
    ZIP 85282
  • Phone: (480) 897-7044

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NPI Details

BHG LXXXV, LLC is a methadone clinic center in Tempe, AZ. 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. BHG LXXXV, LLC NPI is 1114632288. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Medical Services - Arizona.

The provider's business location address is:

2123 E. SOUTHERN AVENUE
OBOT ROOM #100
TEMPE, AZ
ZIP 85282-531
Phone: (480) 897-7044
Fax: (480) 897-7943

The provider's authorized official is Zack Ragsdale .
The authorized official title is Director and has the following contact phone number (512) 454-5911.

The CLIA number assigned to this NPI record is 03D2303251 - other - office based opiod treatm with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 9/23/2024.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM2800XClinic/CenterMethadoneYes
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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: 11/21/2025

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