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SUMMIT BHC SAINT LOUIS LLC NPI 1336508845


NPI Information

NPI: 1336508845
Provider Name: SUMMIT BHC SAINT LOUIS, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 26D2294582

Address:
333 S KIRKWOOD RD STE 303
KIRKWOOD, MO
ZIP 63122
Phone: (888) 979-2411
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SUMMIT BHC SAINT LOUIS, LLC is a substance abuse rehabilitation facility in Kirkwood, MO. 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 SAINT LOUIS, LLC NPI is 1336508845. The provider is registered as an organization entity type.

The provider's business location address is:

333 S KIRKWOOD RD STE 303
KIRKWOOD, MO
ZIP 63122-161
Phone: (888) 979-2411

The provider's authorized official is Paul Gilbert .
The authorized official title is Chief Legal Officer and has the following contact phone number (615) 716-4924.

The CLIA number assigned to this NPI record is 26D2294582 - other - outpatient clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2016 and was last updated on 4/18/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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