ADDICTION RECOVERY MEDICAL SERVICES SUBSTANCE ABUSE FACILITY, LLC
NPI 1679027833
Clinic/Center - Medical Specialty in Statesville, NC

Q: What is Addiction Recovery Medical Services Substance Abuse Facility, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 05, 2016

536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 872-0234(704) 818-1115 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Addiction Recovery Medical Services Substance Abuse Facility, Llc NPPES

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

ADDICTION RECOVERY MEDICAL SERVICES SUBSTANCE ABUSE FACILITY, LLC (NPI 1679027833) is a healthcare organization registered as a medical specialty in Statesville, North Carolina and active in the NPI registry since August 2016. The organization lists Tammy Kearney, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1679027833

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameADDICTION RECOVERY MEDICAL SERVICES SUBSTANCE ABUSE FACILITY, LLC

Location Address536 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391

Mailing Address536 Signal Hill Drive ExtStatesville, NC 28625-4391 · (704) 872-0234 · Fax (704) 818-1115

Phone(704) 872-0234

Fax(704) 818-1115

Organization SubpartNo

Authorized OfficialTammy KearneyPractice Administrator · (704) 872-0234

Enumeration DateAugust 5, 2016

✔ NPI 1679027833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in NC · 9300179

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

536 SIGNAL HILL DRIVE EXT, Statesville, NC 28625

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Other Identifiers 2

Medicaid89132YENC

Medicare UPINE71204NC

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLIS RAY BUTLER II LCAS-A

Counselor (Addiction (Substance Use Disorder))