Copac Incorporated in Flowood - Substance Abuse Rehabilitation Facility
Copac Incorporated - NPI 1922127331
Copac Incorporated is a Substance Abuse Rehabilitation Facility in Flowood, Mississippi. Copac Incorporated practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Copac Incorporated is 1922127331. The last update date is 2007-10-30.
Copac Incorporated's current location address is 4309 Lakeland Dr, Flowood, Mississippi. You can contact this provider via phone number 6018292500 and fax number 6019323857. The mailing address for Copac Incorporated is 4309 Lakeland Dr, Flowood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Copac Incorporated |
|---|---|
| Address | 4309 Lakeland Dr, Flowood, Mississippi |
| Phone Number | 6018292500 |
| Fax Number | 6019323857 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hughes, Jr. Stacy Jerald |
| Credentials | PHD, LPC |
| Telephone Number | 6018292500 |
NPI Number Detail
| NPI Number | 1922127331 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 4309 Lakeland Dr |
|---|---|
| City | Flowood |
| State | Mississippi (MS) |
| Post Code | 392328947 |
| Phone Number | 6018292500 |
| Fax Number | 6019323857 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | FS39-DADA-OP |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1730289802 | MS | PHYSICIAN | |
| 1073679817 | MS | NURSE PRACTITIONER | |
| 1801997127 | MS | PHYSICIAN | |
| 1316016066 | MS | PHYSICIAN | |
| 119422 | MS | -- | |
| 1235270885 | MS | COPAC INCORPORATED |
Post Comment/ Review Below
What is the unique identification code assigned to Copac Incorporated by the Centers for Medicare & Medicaid Services?
The Copac Incorporated has been issued the NPI (National Provider Identifier) 1922127331. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Copac Incorporated located?
The Copac Incorporated is located at 4309 Lakeland Dr, Flowood, MS 392328947.
What is Copac Incorporated's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Copac Incorporated is Substance Abuse Rehabilitation Facility, and the taxonomy classification code that categorizes this area of expertise is 324500000X.
When was the Copac Incorporated's 1922127331 issued?
The Copac Incorporated's 1922127331 was issued on 2007-03-28.
As of what date was the information regarding Copac Incorporated, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Copac Incorporated, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-30.
NPI Number: 1457356560
Address: 4012 E 35th St, Tulsa, OK
NPI Number: 1821097767
Address: Po Box 1559, Bartow, FL
NPI Number: 1689674368
Address: 1000 Health Park Drive, Brentwood, TN
NPI Number: 1225039811
Address: 9330 59th Ave Sw, Lakewood, WA
NPI Number: 1225030695
Address: 4012 E 35th St, Tulsa, OK