LAND OF GOSHEN TREATMENT CENTER INC NPI 1568822633

NPI Information

NPI: 1568822633
Provider Name: LAND OF GOSHEN TREATMENT CENTER, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
81 TOWNSHIP ROAD 349
IRONTON, OH
ZIP 45638
Phone: (740) 449-7875
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LAND OF GOSHEN TREATMENT CENTER, INC is a substance abuse rehabilitation facility in Ironton, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LAND OF GOSHEN TREATMENT CENTER, INC NPI is 1568822633. The provider is registered as an organization entity type.

The provider's business location address is:

81 TOWNSHIP ROAD 349
IRONTON, OH
ZIP 45638-617
Phone: (740) 449-7875

The provider's authorized official is Amy Smith .
The authorized official title is Program Director and has the following contact phone number (740) 442-7875.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 10/19/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	324500000X	Substance Abuse Rehabilitation Facility		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	0164622	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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