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ADDICTION TREATMENT SERVICES INC. NPI 1629431713


NPI Information

NPI: 1629431713
Provider Name: ADDICTION TREATMENT SERVICES, INC.
Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
1010 S GARFIELD AVE
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 346-5216
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ADDICTION TREATMENT SERVICES, INC. is a physician assistant in Traverse City, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. ADDICTION TREATMENT SERVICES, INC. NPI is 1629431713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 S GARFIELD AVE
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 346-5216
Fax: (231) 943-2590

The provider's authorized official is Grant David Card .
The authorized official title is Operations Manager and has the following contact phone number (231) 620-6788.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 7/16/2018.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)SA0280057MICHIGANNo
2101YM0800XCounselorMental HealthSA0280057MICHIGANNo
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5163W00000XRegistered NurseNo
6171M00000XCase Manager/Care CoordinatorNo
7172A00000XDriverNo
8324500000XSubstance Abuse Rehabilitation FacilitySA0280084MICHIGANNo
9363A00000XPhysician Assistant5601005691MICHIGANYes

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
1QMP000005341778MEDICAIDMICHIGAN
2QMP000005341779MEDICAIDMICHIGAN

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

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.