SUNLIGHT MEDICAL SERVICES PLLC NPI 1336607746

NPI Information

NPI: 1336607746
Provider Name: SUNLIGHT MEDICAL SERVICES PLLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 03D2168508

Address:
5750 W THUNDERBIRD RD
SUITE F-640
GLENDALE, AZ
ZIP 85306
Phone: (480) 300-6065
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SUNLIGHT MEDICAL SERVICES PLLC is a methadone clinic center in Glendale, 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. SUNLIGHT MEDICAL SERVICES PLLC NPI is 1336607746. The provider is registered as an organization entity type.

The provider's business location address is:

5750 W THUNDERBIRD RD
SUITE F-640
GLENDALE, AZ
ZIP 85306
Phone: (480) 300-6065
Fax: (855) 923-0899

The provider's authorized official is Vicky Dramaretska .
The authorized official title is Owner/provider and has the following contact phone number (480) 300-6065.

The CLIA number assigned to this NPI record is 03D2168508 - other - medication assisted tp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2019 and was last updated on 6/17/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM2800X	Clinic/Center	Methadone	Yes
3	261QP2300X	Clinic/Center	Primary Care	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	332900000X	Non-Pharmacy Dispensing Site		No

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

NPI Synchronization or Removal

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