PHOENIX PROGRAMS INC. NPI 1912354572

NPI Information

  • NPI: 1912354572
  • Provider Name: PHOENIX PROGRAMS, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: PHOENIX HEALTH PROGRAMS
  • Address: 90 E LESLIE LN
    COLUMBIA, MO
    ZIP 65202
  • Phone: (573) 875-8880

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NPI Details

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderMISSOURIYes

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
11437213634MEDICAIDMISSOURI
21265757991MEDICAIDMISSOURI
3866476609MEDICAIDMISSOURI

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: 11/21/2025

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