BHG XXX LLC NPI 1619338696

NPI Information

NPI: 1619338696
Provider Name: BHG XXX, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 17D2105277

Address:
1125 N 5TH ST
KANSAS CITY, KS
ZIP 66101
Phone: (913) 348-0888
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BHG XXX, LLC is a rehabilitation and substance use disorder clinic center in Kansas City, KS. BHG XXX, LLC NPI is 1619338696. The provider is registered as an organization entity type.

The provider's business location address is:

1125 N 5TH ST
KANSAS CITY, KS
ZIP 66101-305
Phone: (913) 348-0888
Fax: (913) 342-2644

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 17D2105277 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2016 and was last updated on 2/21/2019.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0697003W	KANSAS	No
2	261QM2800X	Clinic/Center	Methadone	0697003W	KANSAS	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0697003W	KANSAS	Yes

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

NPI Synchronization or Removal

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