Polk County Alcohol And Drug in Dallas - Addiction (substance Use Disorder)
Polk County Alcohol And Drug - NPI 1720013071
Polk County Alcohol And Drug is a Addiction (substance Use Disorder) in Dallas, Oregon. Polk County Alcohol And Drug practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Polk County Alcohol And Drug is 1720013071. The last update date is 2020-08-22.
Polk County Alcohol And Drug's current location address is 182 Sw Academy St, Dallas, Oregon. You can contact this provider via phone number 5036239317 and fax number 5036232731. The mailing address for Polk County Alcohol And Drug is 182 Sw Academy St, Dallas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Polk County Alcohol And Drug |
|---|---|
| Address | 182 Sw Academy St, Dallas, Oregon |
| Phone Number | 5036239317 |
| Fax Number | 5036232731 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | POLK COUNT |
|---|---|
| Authorized Official Name | Hansen P Greg |
| Telephone Number | 5036238173 |
NPI Number Detail
| NPI Number | 1720013071 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 182 Sw Academy St |
|---|---|
| City | Dallas |
| State | Oregon (OR) |
| Post Code | 973381922 |
| Phone Number | 5036239317 |
| Fax Number | 5036232731 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CERTIFICATE |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132001 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Polk County Alcohol And Drug by the Centers for Medicare & Medicaid Services (CMS)?
The Polk County Alcohol And Drug has been assigned the NPI (National Provider Identifier) 1720013071. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Polk County Alcohol And Drug is physically located?
The Polk County Alcohol And Drug is situated at the following address: 182 Sw Academy St, Dallas, OR 973381922.
What is Polk County Alcohol And Drug's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Polk County Alcohol And Drug is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720013071 to Polk County Alcohol And Drug?
The Centers for Medicare & Medicaid Services originally issued the 1720013071 to Polk County Alcohol And Drug on 2006-07-12.
As of what date was the information regarding Polk County Alcohol And Drug, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Polk County Alcohol And Drug, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.