SUMMIT BHC IOWA LLC NPI 1922795541

NPI Information

  • NPI: 1922795541
  • Provider Name: SUMMIT BHC IOWA, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: IVORY PLAINS RECOVERY CENTER
  • CLIA Number: 16D2279756
  • Address: 608 NORTH ST
    ADAIR, IA
    ZIP 50002
  • Phone: (615) 637-7157

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NPI Details

SUMMIT BHC IOWA, LLC is a substance abuse rehabilitation facility in Adair, IA. 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. SUMMIT BHC IOWA, LLC NPI is 1922795541. The provider is registered as an organization entity type.
The provider Is Doing Business As Ivory Plains Recovery Center.

The provider's business location address is:

608 NORTH ST
ADAIR, IA
ZIP 50002-126
Phone: (615) 637-7157

The provider's authorized official is Bonita Darlene Mangrum .
The authorized official title is Vp Revenue Cycle and has the following contact phone number (615) 637-7157.

The CLIA number assigned to this NPI record is 16D2279756 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2023 and was last updated on 5/25/2023.

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
1276400000XRehabilitation, Substance Use Disorder UnitNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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