ULTIMATE CARE MEDICAL SERVICES LLC NPI 1225398159

NPI Information

NPI: 1225398159
Provider Name: ULTIMATE CARE MEDICAL SERVICES LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 18D1102645

Address:
3655 WINCHESTER AVE
ASHLAND, KY
ZIP 41101
Phone: (606) 393-4632
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ULTIMATE CARE MEDICAL SERVICES LLC is an adult mental health clinic center in Ashland, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ULTIMATE CARE MEDICAL SERVICES LLC NPI is 1225398159. The provider is registered as an organization entity type.

The provider's business location address is:

3655 WINCHESTER AVE
ASHLAND, KY
ZIP 41101-065
Phone: (606) 393-4632
Fax: (888) 411-4131

The provider's authorized official is Livinus C. Uba .
The authorized official title is Counseling Supervisor and has the following contact phone number (606) 393-4632.

The CLIA number assigned to this NPI record is 18D1102645 - other - otp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 5/25/2012.

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
1	261QM2800X	Clinic/Center	Methadone	121019	OHIO	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	710053		No
3	261QM0850X	Clinic/Center	Adult Mental Health	1179	KENTUCKY	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

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