Organization · NPI-2

Bhg Xliii, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder · Springfield, MO

NPI number1558805754
StatusActive
Last updated in NPPESDec 26, 2024

Details

NPI
1558805754
Entity type
Organization (NPI-2)
Legal business name
Bhg Xliii, LLC
Organization subpart
No
Enumeration date
Dec 7, 2016
Certification date
Dec 26, 2024
Last updated
Dec 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM2800X Clinic/Center, Methadone Clinic––

Other names

  • Bhg Northern Springfield Treatment Center (Doing Business As)

Practice location

2551 W Kearney St
Springfield, MO 65803

Phone 214-365-6100 · Fax 214-365-6150

Mailing address

5001 Spring Valley Rd
Suite 600 East
Dallas, TX 75244-3946

Phone 214-365-6100 · Fax 214-365-6150

Authorized official

Jay Higham
Ceo
2143656112

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