BISON RIDGE RECOVERY LODGE, LLC
NPI 1033948559
Clinic/Center - Rehabilitation, Substance Use Disorder in Rome, GA
About Bison Ridge Recovery Lodge, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BISON RIDGE RECOVERY LODGE, LLC (NPI 1033948559), doing business as Bison Ridge Recovery Lodge, is a healthcare organization registered as a rehabilitation, substance use disorder in Rome, Georgia and active in the NPI registry since August 2024. The organization lists Charlie Campbell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2308870
Bison Ridge Recovery Lodge, LLC · Rome, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bison Ridge Recovery Lodge, LLC's NPI number?
The NPI number for Bison Ridge Recovery Lodge, LLC is 1033948559. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is doing business as Bison Ridge Recovery Lodge.
Where is Bison Ridge Recovery Lodge, LLC located?
Bison Ridge Recovery Lodge, LLC is located at 224 Lavender Trl NW, Rome, GA 30165. The listed phone number is (770) 296-4555.
What is Bison Ridge Recovery Lodge, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
When was this NPI record last updated?
The NPPES record for Bison Ridge Recovery Lodge, LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bison Ridge Recovery Lodge, Llc · NPI 1033948559
Rehabilitation, Substance Use Disorder organization in Rome, Georgia. Organization record, active in the CMS NPPES registry since August 1, 2024.
## Identity
- **NPI:** 1033948559 (Entity type: Organization)
- **Enumerated:** August 1, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Bison Ridge Recovery Lodge (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Charlie Campbell, PRESIDENT
## Practice location
- **Address:** 224 LAVENDER TRL NW, Rome, GA 30165-7896
- **Phone:** (770) 296-4555
## Record status
- **NPPES last updated:** August 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033948559) · Data from the CMS NPPES public registry.