| Bhg Columbia Treatment Center | |
|
1301 Vandiver Dr Ste Y Columbia MO 65202-3918 | |
| (573) 449-8338 | |
| (573) 449-8344 |
| Full Name | Bhg Columbia Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 Vandiver Dr Ste Y, Columbia, Missouri |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Columbia Treatment Center 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Bhg Columbia Treatment Center 1301 Vandiver Dr Ste Y Columbia MO 65202-3918 Ph: (573) 449-8338 |
| NPI Number | 1366603623 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Medicare PECOS PAC ID | 1355651217 |
|---|---|
| Medicare Enrollment ID | O20191213000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366603623 | NPI | - | NPPES |
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