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FIRST AT BLUE RIDGE NPI 1942481957


NPI Information

NPI: 1942481957
Provider Name: FIRST AT BLUE RIDGE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 34D2148494

Address:
32 KNOX RD
RIDGECREST, NC
ZIP 28770
Phone: (828) 669-0011
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FIRST AT BLUE RIDGE is a substance abuse rehabilitation facility in Ridgecrest, NC. 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. FIRST AT BLUE RIDGE NPI is 1942481957. The provider is registered as an organization entity type.

The provider's business location address is:

32 KNOX RD
RIDGECREST, NC
ZIP 28770
Phone: (828) 669-0011
Fax: (828) 669-0589

The provider's authorized official is Joseph A Martinez .
The authorized official title is Executive Director and has the following contact phone number (828) 337-0487.

The CLIA number assigned to this NPI record is 34D2148494 - other - residental therapy comm with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 5/31/2018.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2324500000XSubstance Abuse Rehabilitation FacilityMHL-011-264NORTH CAROLINAYes

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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