Huntington Treatment Center, Llc | |
135 4th Ave Huntington WV 25701-1219 | |
(304) 525-5691 | |
(304) 525-5693 |
Full Name | Huntington Treatment Center, Llc |
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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 |
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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 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 08/14/2023 |
Certification Date | 08/14/2023 |
Medicare PECOS PAC ID | 1658706056 |
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Medicare Enrollment ID | O20230714001284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255349445 | NPI | - | NPPES |
04 | Other | WV | OPIOID TREATMENT PROGRAM |
Provider Name | Naaman L Bell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912950031 PECOS PAC ID: 7315953742 Enrollment ID: I20060222000692 |
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