| Huntington Treatment Center, Llc | |
|
135 4th Ave Huntington WV 25701-1219 | |
| (304) 525-5691 | |
| (304) 525-5693 |
| Full Name | Huntington Treatment Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 4th Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Treatment Center, Llc 6183 Paseo Del Norte, Ste 200 Carisbad CA 92011-1155 Ph: (855) 259-2288 | Huntington Treatment Center, Llc 135 4th Ave Huntington WV 25701-1219 Ph: (304) 525-5691 |
| NPI Number | 1255349445 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 1658706056 |
|---|---|
| Medicare Enrollment ID | O20230714001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255349445 | NPI | - | NPPES |
| 04 | Other | WV | OPIOID TREATMENT PROGRAM |
| Provider Name | Naaman L Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912950031 PECOS PAC ID: 7315953742 Enrollment ID: I20060222000692 |
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