PHOENIX PROGRAMS INC. NPI 1912354572

NPI Information

NPI: 1912354572
Provider Name: PHOENIX PROGRAMS, INC.

Doing Business As: PHOENIX HEALTH PROGRAMS

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
90 E LESLIE LN
COLUMBIA, MO
ZIP 65202
Phone: (573) 875-8880
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PHOENIX PROGRAMS, INC. is a rehabilitation and substance use disorder clinic center in Columbia, MO. PHOENIX PROGRAMS, INC. NPI is 1912354572. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Health Programs.

The provider's business location address is:

90 E LESLIE LN
COLUMBIA, MO
ZIP 65202-535
Phone: (573) 875-8880
Fax: (573) 442-3830

The provider's authorized official is Laura L Cameron .
The authorized official title is Veterans Specialist and has the following contact phone number (573) 875-8880.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		MISSOURI	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
1	1437213634	MEDICAID	MISSOURI
2	1265757991	MEDICAID	MISSOURI
3	866476609	MEDICAID	MISSOURI

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

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