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SUNRISE TREATMENT CENTER - SPRINGFIELD NPI 1265187389


NPI Information

NPI: 1265187389
Provider Name: SUNRISE TREATMENT CENTER - SPRINGFIELD

Other Name: SUNRISE TREATMENT CENTER - SPRINGFIELD

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2247341

Address:
1421 PARKER CT
SPRINGFIELD, OH
ZIP 45504
Phone: (513) 941-4999
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SUNRISE TREATMENT CENTER - SPRINGFIELD is a rehabilitation and substance use disorder clinic center in Springfield, OH. SUNRISE TREATMENT CENTER - SPRINGFIELD NPI is 1265187389. The provider is registered as an organization entity type.
The provider Other Name Is Sunrise Treatment Center - Springfield.

The provider's business location address is:

1421 PARKER CT
SPRINGFIELD, OH
ZIP 45504-855
Phone: (513) 941-4999

The provider's authorized official is Steven Henry. Smith .
The authorized official title is Coo and has the following contact phone number (513) 467-3772.

The CLIA number assigned to this NPI record is 36D2247341 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 6/15/2022.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
10078786MEDICAIDOHIO
20313320MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.