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HEALTHQWEST FRONTIERS LLC NPI 1447521240


NPI Information

NPI: 1447521240
Provider Name: HEALTHQWEST FRONTIERS LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 11D2030052

Address:
6707 FOREST PARK DR
SAVANNAH, GA
ZIP 31406
Phone: (912) 335-1699
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HEALTHQWEST FRONTIERS LLC is a methadone clinic center in Savannah, 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 FRONTIERS LLC NPI is 1447521240. The provider is registered as an organization entity type.

The provider's business location address is:

6707 FOREST PARK DR
SAVANNAH, GA
ZIP 31406-566
Phone: (912) 335-1699
Fax: (912) 335-1352

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 11D2030052 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 9/2/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNTP001070GEORGIANo
2261QR0800XClinic/CenterRecovery CareNo
3261QM2800XClinic/CenterMethadoneNTP001070GEORGIAYes

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: 11/14/2023

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