BUFFALO VALLEY INC. NPI 1710074083

NPI Information

NPI: 1710074083
Provider Name: BUFFALO VALLEY, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 44D1066355

Address:
501 PARK AVE S
HOHENWALD, TN
ZIP 38462
Phone: (931) 796-4256
Get Directions

BUFFALO VALLEY, INC. is a substance abuse rehabilitation facility in Hohenwald, TN. 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. BUFFALO VALLEY, INC. NPI is 1710074083. The provider is registered as an organization entity type.

The provider's business location address is:

501 PARK AVE S
HOHENWALD, TN
ZIP 38462-835
Phone: (931) 796-4256

The provider's authorized official is Jerry T Risner .
The authorized official title is Executive Director and has the following contact phone number (931) 796-4256.

The CLIA number assigned to this NPI record is 44D1066355 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 12/9/2013.

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	0000000072	TENNESSEE	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000071	TENNESSEE	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000383	TENNESSEE	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000401	TENNESSEE	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000170	TENNESSEE	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000428	TENNESSEE	No
7	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0000000396	TENNESSEE	No
8	324500000X	Substance Abuse Rehabilitation Facility		0000000071	TENNESSEE	No
9	324500000X	Substance Abuse Rehabilitation Facility		0000000076	TENNESSEE	No
10	324500000X	Substance Abuse Rehabilitation Facility		0000000401	TENNESSEE	No
11	324500000X	Substance Abuse Rehabilitation Facility		0000000428	TENNESSEE	No
12	324500000X	Substance Abuse Rehabilitation Facility		0000000072	TENNESSEE	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »