ST REGIS MOHAWK TRIBE NPI 1659521052

NPI Information

NPI: 1659521052
Provider Name: ST REGIS MOHAWK TRIBE

Doing Business As: PARTRIDGE HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
412 STATE ROUTE 37
AKWESASNE, NY
ZIP 13655
Phone: (518) 358-3141
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ST REGIS MOHAWK TRIBE is a substance abuse rehabilitation facility in Akwesasne, NY. 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. ST REGIS MOHAWK TRIBE NPI is 1659521052. The provider is registered as an organization entity type.
The provider Is Doing Business As Partridge House.

The provider's business location address is:

412 STATE ROUTE 37
AKWESASNE, NY
ZIP 13655-109
Phone: (518) 358-3141
Fax: (518) 358-2797

The provider's authorized official is Deborah Terrance .
The authorized official title is Health Director and has the following contact phone number (518) 358-3141.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 3/15/2010.

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	324500000X	Substance Abuse Rehabilitation Facility		111211393	NEW YORK	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	111211393	OTHER	NEW YORK	OPERATING CERTIFICATE
2	01178234	MEDICAID	NEW YORK

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

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