ETOWN ADDICTION SOLUTIONS, LLC – NPI #1083148076
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Health Care Provider Taxonomy Code for Clinic/Center

ETOWN ADDICTION SOLUTIONS, LLC is an AHC clinic located in ELIZABETHTOWN, KY. NPPES has assigned the NPI number 1083148076 to ETOWN ADDICTION SOLUTIONS, LLC on April 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

The NPI profile was last updated on Dec 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETOWN ADDICTION SOLUTIONS, LLC below.

NPI Profile for
ETOWN ADDICTION SOLUTIONS, LLC

NPI Number
1083148076
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ETOWN ADDICTION SOLUTIONS, LLC
Primary location
2645 LEITCHFIELD RD STE 104
ELIZABETHTOWN, KY 42701-8306
Phone: (270) 234-8180 Fax:
Mailing address
PO BOX 897
BOISE, ID 83701-0897
Phone: (208) 367-9446 Fax:
Organization Subpart
No
Authorized Official
JAY HIGHAM
CEO
Phone: (214) 365-6112
Updated
Certification Date
Dec 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.