Bhg Lxxiv, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in West Plains, MO. Organization (NPI-2).
NPI number1710698055
StatusActive
Last updated in NPPESDec 26, 2024
Details
- NPI
- 1710698055
- Entity type
- Organization (NPI-2)
- Legal business name
- Bhg Lxxiv, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 7, 2022
- Certification date
- Dec 26, 2024
- Last updated
- Dec 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – |
Other names
- Bhg Medical Services - Missouri (Doing Business As)
Practice location
1639 Bruce Smith PkwyWest Plains, MO 65775-7691
Phone 417-255-6441 · Fax 417-256-0488
Mailing address
5001 Spring Valley RoadSuite 600 East
Dallas, TX 75244-3946
Phone 214-365-6100 · Fax 214-365-6150
Authorized official
Jay Higham
Ceo
2143656112
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