Phoenix Health Programs

LBN: Phoenix Programs, Inc.
Phoenix Health Programs is an health care organization with primary practice located at 90 E Leslie Ln , Columbia MO 65202-1535. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Phoenix Programs, Inc. can be contacted via phone (573) 875-8880, or through Cameron, Laura L via phone (573) 875-8880.

Contact Information

Primary practice address
90 E Leslie Ln Columbia MO 65202-1535
Phone: (573) 875-8880
Fax: (573) 442-3830
Website:
Map and Directions
Authorized official contact:
Name: Cameron, Laura L RASAC II
Phone: (573) 875-8880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Missouri

Profile Details

NPI number 1912354572
LBN Legal business name Phoenix Programs, Inc.
DBA Doing business as Phoenix Health Programs
Authorized official Cameron, Laura L RASAC II
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2016
Last updated May 24th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912354572 NPPES
Missouri MEDICAID 1265757991
Missouri MEDICAID 866476609
Missouri MEDICAID 1437213634

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