EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.
NPI 1689416158
Clinic/Center - Rehabilitation, Substance Use Disorder in Hazard, KY
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.
This page provides the complete NPI Profile along with additional information for Eastern Mountain Family & Support Services Inc., a provider established in Hazard, Kentucky operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1689416158 assigned on June 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Shawn A Gilley (Executive Director)
- NPI
- 1689416158 Verify this NPI
- Provider Name
- EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.
- Entity Type
- Organization
- Location Address
- 481 MAIN ST HAZARD, KY 41701
- Location Phone
- (606) 233-6336
- Mailing Address
- PO BOX 82 JEREMIAH, KY 41826
- Mailing Phone
- (606) 233-6336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2024
- Last Update Date
- 06-06-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251S00000X | Agencies | Community/Behavioral Health | |
| 3 | 261QR0800X | Ambulatory Health Care Facilities | Clinic/Center |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689416158, enumerated as an "organization" on June 06, 2024.
The provider is located at 481 MAIN ST HAZARD, KY 41701 and the phone number is (606) 233-6336.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.