QUALITY ADDICTION MANAGEMENT INC. NPI 1629282470

NPI Details

QUALITY ADDICTION MANAGEMENT, INC. is a methadone clinic center in Green Bay, WI. 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. QUALITY ADDICTION MANAGEMENT, INC. NPI is 1629282470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2357 W MASON ST
GREEN BAY, WI
ZIP 54303-708
Phone: (920) 337-6740
Fax: (920) 337-6741

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 716-9335.

The CLIA number assigned to this NPI record is 52D2019014 - mobile laboratory 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)
• 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)
• Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)
• Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a (HCPCS:G2076)

The enumeration date for this NPI number is 5/10/2007 and was last updated on 4/12/2024.

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: