HEALTHQWEST LLC NPI 1376846261

NPI Information

NPI: 1376846261
Provider Name: HEALTHQWEST LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 11D1083690

Address:
607 RUSSELL PKWY STE A
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 225-9860
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HEALTHQWEST LLC is a methadone clinic center in Warner Robins, GA. 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. HEALTHQWEST LLC NPI is 1376846261. The provider is registered as an organization entity type.

The provider's business location address is:

607 RUSSELL PKWY STE A
WARNER ROBINS, GA
ZIP 31088-690
Phone: (478) 225-9860

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

The CLIA number assigned to this NPI record is 11D1083690 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 9/2/2020.

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	251S00000X	Community/Behavioral Health		PHOP000044	GEORGIA	No
2	261QR0800X	Clinic/Center	Recovery Care			No
3	261QM2800X	Clinic/Center	Methadone			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: 5/5/2024

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