GOOD ROAD RECOVERY CENTER NPI 1629544267

NPI Information

NPI: 1629544267
Provider Name: GOOD ROAD RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 35D2156589

Address:
1308 ELBOWOOD LN
BISMARCK, ND
ZIP 58503
Phone: (701) 751-8260
Get Directions

GOOD ROAD RECOVERY CENTER is a substance abuse rehabilitation facility in Bismarck, ND. 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. GOOD ROAD RECOVERY CENTER NPI is 1629544267. The provider is registered as an organization entity type.

The provider's business location address is:

1308 ELBOWOOD LN
BISMARCK, ND
ZIP 58503-712
Phone: (701) 751-8260

The provider's authorized official is Sherry Michelle Baker .
The authorized official title is Billing Specialist and has the following contact phone number (701) 751-8260.

The CLIA number assigned to this NPI record is 35D2156589 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2018 and was last updated on 10/22/2018.

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	251B00000X	Case Management		No
2	177F00000X	Lodging		No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
4	174200000X	Meals		No
5	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	=========	OTHER		TIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »