Robin Ross Peacock in Hooper - Addiction (substance Use Disorder)
Robin Ross Peacock - NPI 1457570277
Robin Ross Peacock is a Addiction (substance Use Disorder) in Hooper, Utah. Robin Ross Peacock practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robin Ross Peacock is 1457570277. The last update date is 2007-07-08.
Robin Ross Peacock's current location address is 5961 W 5050 S, Hooper, Utah. You can contact this provider via phone number 8019859891 and fax number 8016214203. The mailing address for Robin Ross Peacock is 5961 W 5050 S, Hooper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robin Ross Peacock |
|---|---|
| Address | 5961 W 5050 S, Hooper, Utah |
| Phone Number | 8019859891 |
| Fax Number | 8016214203 |
| Sole Proprietor | N |
| Credentials | LSAC |
NPI Number Detail
| NPI Number | 1457570277 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5961 W 5050 S |
|---|---|
| City | Hooper |
| State | Utah (UT) |
| Post Code | 843159720 |
| Phone Number | 8019859891 |
| Fax Number | 8016214203 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 138819-6006 |
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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 |
|---|---|---|---|
| 876000308007 | UT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robin Ross Peacock?
The Robin Ross Peacock has been issued the NPI (National Provider Identifier) 1457570277 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Robin Ross Peacock?
The Robin Ross Peacock is physically situated at 5961 W 5050 S, in the city of Hooper, state of UT, with the postal code 843159720.
What is Robin Ross Peacock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robin Ross Peacock is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did Robin Ross Peacock receive its 1457570277 assignment from the Centers for Medicare & Medicaid Services?
The Robin Ross Peacock was assigned its 1457570277 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Robin Ross Peacock most recently updated or revised?
The information pertaining to Robin Ross Peacock, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY