Patrick Medland in Bloomington - Addiction (substance Use Disorder)
Patrick Medland - NPI 1922075209
Patrick Medland is a Addiction (substance Use Disorder) in Bloomington, Indiana. Patrick Medland practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Patrick Medland is 1922075209. The last update date is 2009-04-29.
Patrick Medland's current location address is 655 S Clarizz Blvd, Bloomington, Indiana. You can contact this provider via phone number 8123355890 and fax number 8123555895. The mailing address for Patrick Medland is 655 S Clarizz Blvd, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Medland |
|---|---|
| Address | 655 S Clarizz Blvd, Bloomington, Indiana |
| Phone Number | 8123355890 |
| Fax Number | 8123555895 |
| Sole Proprietor | N |
| Credentials | LCSW, LMHC |
NPI Number Detail
| NPI Number | 1922075209 |
|---|---|
| Provider Enumeration Date | 2006-03-04 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 655 S Clarizz Blvd |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474015523 |
| Phone Number | 8123355890 |
| Fax Number | 8123555895 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 34002601A |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 316246 | ANTHEM |
Post Comment/ Review Below
What is the Patrick Medland's unique identification number?
The Patrick Medland has been assigned the NPI (National Provider Identifier) Number 1922075209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Patrick Medland is physically located?
The Patrick Medland is situated at the following address: 655 S Clarizz Blvd, Bloomington, IN 474015523.
What is Patrick Medland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Patrick Medland's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did Patrick Medland receive its 1922075209 assignment from the Centers for Medicare & Medicaid Services?
The Patrick Medland was assigned its 1922075209 on 2006-03-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Patrick Medland most recently updated?
The details pertaining to the Patrick Medland, including its address, specialty, and other relevant information, were last refreshed on 2009-04-29.
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