SUNRISE TREATMENT CENTER - PORTSMOUTH NPI 1407502883

NPI Information

NPI: 1407502883
Provider Name: SUNRISE TREATMENT CENTER - PORTSMOUTH

Other Name: SUNRISE TREATMENT CENTER - PORTSMOUTH

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
1907 11TH ST
PORTSMOUTH, OH
ZIP 45662
Phone: (513) 941-4999
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SUNRISE TREATMENT CENTER - PORTSMOUTH is a rehabilitation and substance use disorder clinic center in Portsmouth, OH. SUNRISE TREATMENT CENTER - PORTSMOUTH NPI is 1407502883. The provider is registered as an organization entity type.
The provider Other Name Is Sunrise Treatment Center - Portsmouth.

The provider's business location address is:

1907 11TH ST
PORTSMOUTH, OH
ZIP 45662-531
Phone: (513) 941-4999

The provider's authorized official is Randy Henry. Spaulding .
The authorized official title is C.o.o. and has the following contact phone number (513) 467-2825.

The enumeration date for this NPI number is 2/24/2022 and was last updated on 3/24/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0078786	MEDICAID	OHIO
2	0313320	MEDICAID	OHIO

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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