Five County Alcohol/Drup Program In in Alvordton - Non-pharmacy Dispensing Site
Five County Alcohol/Drup Program In - NPI 1093772386
Five County Alcohol/Drup Program In is a Non-pharmacy Dispensing Site in Alvordton, Ohio. Five County Alcohol/Drup Program In practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Five County Alcohol/Drup Program In is 1093772386. The last update date is 2020-08-22.
Five County Alcohol/Drup Program In's current location address is 109 W Main St, Alvordton, Ohio. You can contact this provider via phone number 4199242029 and fax number 4199242061. The mailing address for Five County Alcohol/Drup Program In is 109 W Main St, Alvordton, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Five County Alcohol/Drup Program In |
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Address | 109 W Main St, Alvordton, Ohio |
Phone Number | 4199242029 |
Fax Number | 4199242061 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Bond Kenneth |
Credentials | LICDC |
Telephone Number | 4197829920 |
NPI Number Detail
NPI Number | 1093772386 |
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Provider Enumeration Date | 2006-04-28 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 109 W Main St |
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City | Alvordton |
State | Ohio (OH) |
Post Code | 435019763 |
Phone Number | 4199242029 |
Fax Number | 4199242061 |
Provider's Primary Taxonomy Detail
Speciality | Non-pharmacy Dispensing Site |
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Taxonomy | 332900000X |
Licence No | 559 |
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10998 | OH | MACSIS UPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Five County Alcohol/Drup Program In by the Centers for Medicare & Medicaid Services?
The Five County Alcohol/Drup Program In has been assigned the NPI (National Provider Identifier) 1093772386 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Five County Alcohol/Drup Program In is located?
The Five County Alcohol/Drup Program In is situated at the following address: 109 W Main St, Alvordton, OH, 435019763.
What is Five County Alcohol/Drup Program In'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 Five County Alcohol/Drup Program In is Non-pharmacy Dispensing Site, and the taxonomy classification code that categorizes this area of expertise is 332900000X.
On what date did the Five County Alcohol/Drup Program In receive its 1093772386 assignment from the Centers for Medicare & Medicaid Services?
The Five County Alcohol/Drup Program In was assigned its 1093772386 by the Centers for Medicare & Medicaid Services on 2006-04-28.
As of what date was the information pertaining to Five County Alcohol/Drup Program In, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Five County Alcohol/Drup Program In, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.