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BI-VALLEY MEDICAL CLINIC INC NPI 1174544092


NPI Information

NPI: 1174544092
Provider Name: BI-VALLEY MEDICAL CLINIC, INC

Doing Business As: BAART PROGRAMS NORWOOD

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 05D2027724

Address:
310 HARRIS AVE
SUITE A, E, F, G
SACRAMENTO, CA
ZIP 95838
Phone: (916) 649-6793
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BI-VALLEY MEDICAL CLINIC, INC is a methadone clinic center in Sacramento, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. BI-VALLEY MEDICAL CLINIC, INC NPI is 1174544092. The provider is registered as an organization entity type.
The provider Is Doing Business As Baart Programs Norwood.

The provider's business location address is:

310 HARRIS AVE
SUITE A, E, F, G
SACRAMENTO, CA
ZIP 95838-249
Phone: (916) 649-6793
Fax: (916) 418-0174

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 05D2027724 - other - narcotic treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 2/13/2024.


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
1261QM2800XClinic/CenterMethadone34-04CALIFORNIAYes

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
1HDC70032FOTHERCALIFORNIAMEDI-CAL
2GR0004552MEDICAIDCALIFORNIA

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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