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COLUMN HEALTH LLC NPI 1861898934


NPI Information

NPI: 1861898934
Provider Name: COLUMN HEALTH, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 22D2268010

Address:
339 MASSACHUSETTS AVE
ARLINGTON, MA
ZIP 02474
Phone: (339) 368-7696
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COLUMN HEALTH, LLC is a clinic center in Arlington, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COLUMN HEALTH, LLC NPI is 1861898934. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

339 MASSACHUSETTS AVE
ARLINGTON, MA
ZIP 02474
Phone: (339) 368-7696
Fax: (339) 368-7649

The provider's authorized official is Amy Marie Nieman .
The authorized official title is Director and has the following contact phone number (338) 510-4357.

The CLIA number assigned to this NPI record is 22D2268010 - other - outpt substance useclinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 3/14/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)1942434311MASSACHUSETTSNo
2261Q00000XClinic/CenterYes
3261QH0100XClinic/CenterHealth ServiceNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5261QM2800XClinic/CenterMethadoneNo
6291U00000XClinical Medical LaboratoryNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110102199AMEDICAIDMASSACHUSETTS

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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