EASTSIDE OUTPATIENT SERVICES PLLC NPI 1487275376

NPI Information

  • NPI: 1487275376
  • Provider Name: EASTSIDE OUTPATIENT SERVICES PLLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 445 E SHERMAN BLVD
    MUSKEGON, MI
    ZIP 49444
  • Phone: (231) 739-4359

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NPI Details

EASTSIDE OUTPATIENT SERVICES PLLC is a rehabilitation and substance use disorder clinic center in Muskegon, MI. EASTSIDE OUTPATIENT SERVICES PLLC NPI is 1487275376. The provider is registered as an organization entity type.

The provider's business location address is:

445 E SHERMAN BLVD
MUSKEGON, MI
ZIP 49444-203
Phone: (231) 739-4359

The provider's authorized official is Darien L. Smith .
The authorized official title is Program Director and has the following contact phone number (231) 206-9612.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)

The enumeration date for this NPI number is 5/1/2020 and was last updated on 5/1/2020.

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
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 3/30/2025

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