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KIRWOOD MEDICATION ASSISTED TREATMENTS
NPI 1053953422
Clinic/Center - Rehabilitation, Substance Use Disorder in Kirkwood, MO

Active since October 17, 2019
111 PROSPECT AVE STE 201, KIRKWOOD, MO 63122(314) 644-8310(314) 293-6749 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2020, Oct 17, 2019 (2 updates tracked since 2019).

About Kirwood Medication Assisted Treatments NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRWOOD MEDICATION ASSISTED TREATMENTS (NPI 1053953422), doing business as Kirkwood Medication Assisted Treatments, is a healthcare organization registered as a rehabilitation, substance use disorder in Kirkwood, Missouri and active in the NPI registry since October 2019. The organization lists Gary Hammen, Member, as its authorized official.

NPPES Registry Identity

NPI1053953422
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameKIRWOOD MEDICATION ASSISTED TREATMENTS
Location Address111 PROSPECT AVE STE 201Kirkwood, MO 63122-6052
Mailing Address111 Prospect Ave Ste 201Kirkwood, MO 63122-6052 · (314) 644-8310 · Fax (314) 293-6749
Phone(314) 644-8310
Fax(314) 293-6749
Organization SubpartYesParent: Dr Gary Hammen Md Phd Llc
Authorized OfficialGary HammenMember · (314) 644-8310
Enumeration DateOctober 17, 2019
Last NPPES UpdateMay 25, 20202 updates tracked since enumeration
NPPES CertifiedMay 25, 2020
✔ NPI 1053953422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
111 PROSPECT AVE STE 201, Kirkwood, MO 63122
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Other Names 1

Doing Business AsKirkwood Medication Assisted Treatments

Frequently 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 Kirwood Medication Assisted Treatments's NPI number?

The NPI number for Kirwood Medication Assisted Treatments is 1053953422. It was assigned to this organization in the NPPES registry on October 17, 2019. The provider is doing business as Kirkwood Medication Assisted Treatments.

Where is Kirwood Medication Assisted Treatments located?

Kirwood Medication Assisted Treatments is located at 111 Prospect Ave Ste 201, Kirkwood, MO 63122. The listed phone number is (314) 644-8310.

What is Kirwood Medication Assisted Treatments'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 Kirwood Medication Assisted Treatments was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.