<Unavail>

LBN: Phoenix Recovery Services, Llc
<Unavail> is an health care organization with primary practice located at 31640 Sr 20 Ste 1 , Oak Harbor WA 98277-3128. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Phoenix Recovery Services, Llc can be contacted via phone (360) 679-7676, or through Hundahl, Carol Ruth via phone (360) 848-8437.

Contact Information

Primary practice address
31640 Sr 20 Ste 1 Oak Harbor WA 98277-3128
Phone: (360) 679-7676
Fax: (360) 682-5947
Website:
Map and Directions
Authorized official contact:
Name: Hundahl, Carol Ruth CDP
Phone: (360) 848-8437

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 15145300 Washington

Profile Details

NPI number 1467763276
LBN Legal business name Phoenix Recovery Services, Llc
DBA Doing business as <Unavail>
Authorized official Hundahl, Carol Ruth CDP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2010
Last updated Jun 25th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467763276 NPPES
Washington MEDICAID 1994649

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