BHGXXIX LLC NPI 1508277229

NPI Information

  • NPI: 1508277229
  • Provider Name: BHGXXIX, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: BHG POPLAR BLUFF TREATMENT CENTER
  • CLIA Number: 26D2078309
  • Address: 1369 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 772-7937

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NPI Details

BHGXXIX, LLC is a rehabilitation and substance use disorder clinic center in Poplar Bluff, MO. BHGXXIX, LLC NPI is 1508277229. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Poplar Bluff Treatment Center.

The provider's business location address is:

1369 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-313
Phone: (573) 772-7937
Fax: (573) 778-1315

The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.

The CLIA number assigned to this NPI record is 26D2078309 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

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)

The enumeration date for this NPI number is 5/15/2014 and was last updated on 12/17/2019.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM2800XClinic/CenterMethadoneMISSOURINo
3261QR0405XClinic/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: 11/21/2025

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