FCCR FREDERICKSBURG – NPI #1356854277
Clinic/Center

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

FCCR FREDERICKSBURG is an AHC clinic located in FREDERICKSBURG, VA. NPPES has assigned the NPI number 1356854277 to FCCR FREDERICKSBURG on November 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FCCR FREDERICKSBURG” is a dba name, the actual legal business name for this organization is PINNACLE TREATMENT CENTERS VA-I, LLC. With multiple taxonomy codes selected, 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 previously updated about 3 years ago on Nov 21, 2023. 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 FCCR FREDERICKSBURG below.

NPI Profile for
PINNACLE TREATMENT CENTERS VA-I, LLC

NPI Number
1356854277
Enumeration Date

(more than 8 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
PINNACLE TREATMENT CENTERS VA-I, LLC
Doing Business As (dba): FCCR FREDERICKSBURG
Primary location
11720 MAIN ST STE 108
FREDERICKSBURG, VA 22408
Phone: (540) 735-9350 Fax:
Mailing address
1317 ROUTE 73
MOUNT LAUREL, NJ 08054-2202
Phone: (856) 533-8762 Fax:
Organization Subpart
No
Authorized Official
ROBYN TANIS
EXECUTIVE DIRECTOR OF CONTRACT MGMT
Phone: (856) 533-8762
Updated
Certification Date
Nov 21, 2023

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)
261QR0800X
- Clinic/Center / Recovery Care
251S00000X
- Community/Behavioral Health

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.