BHG XXV LLC NPI 1710323894

NPI Information

NPI: 1710323894
Provider Name: BHG XXV, LLC

Doing Business As: BHG PIKEVILLE TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 18D2057374

Address:
368 SOUTH MAYO TRAIL
PIKEVILLE, KY
ZIP 41501
Phone: (606) 437-0047
Get Directions

BHG XXV, LLC is a rehabilitation and substance use disorder clinic center in Pikeville, KY. BHG XXV, LLC NPI is 1710323894. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Pikeville Treatment Center.

The provider's business location address is:

368 SOUTH MAYO TRAIL
PIKEVILLE, KY
ZIP 41501
Phone: (606) 437-0047
Fax: (606) 437-0547

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 18D2057374 - other - outpatient treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2013 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	251B00000X	Case Management		800197	KENTUCKY	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
3	261QM2800X	Clinic/Center	Methadone	810179	KENTUCKY	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		KENTUCKY	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	7100370840	MEDICAID	KENTUCKY

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: 5/5/2024

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