GOSHEN METHADONE CLINIC NPI 1528833498

NPI Information

  • NPI: 1528833498
  • Provider Name: GOSHEN METHADONE CLINIC
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Address: 2727 W GLENDALE AVE
    PHOENIX, AZ
    ZIP 85051
  • Phone: (602) 930-8671

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NPI Details

GOSHEN METHADONE CLINIC is a methadone clinic center in Phoenix, AZ. 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. GOSHEN METHADONE CLINIC NPI is 1528833498. The provider is registered as an organization entity type.

The provider's business location address is:

2727 W GLENDALE AVE
PHOENIX, AZ
ZIP 85051-447
Phone: (602) 930-8671

The provider's authorized official is Oswald Nkengurukiyimana .
The authorized official title is Owner and has the following contact phone number (602) 930-8671.

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.

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/CenterMethadoneYes

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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