DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER – NPI #1366041196
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

DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER is an AHC clinic located in CLEVELAND, TN. NPPES has assigned the NPI number 1366041196 to DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER on October 22, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER” is a dba name, the actual legal business name for this organization is MIDDLE TENNESSEE TREATMENT CENTERS, LLC. 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 Oct 03, 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 DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER below.

NPI Profile for
MIDDLE TENNESSEE TREATMENT CENTERS, LLC

NPI Number
1366041196
Enumeration Date

(more than 5 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
MIDDLE TENNESSEE TREATMENT CENTERS, LLC
Doing Business As (dba): DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER
Primary location
3575 KEITH STREET NW
CLEVELAND, TN 37312
Phone: (855) 259-2288 Fax:
Mailing address
6183 PASEO DEL NORTE
SUITE 200
CARLSBAD, CA 92011-1155
Phone: (855) 259-2288 Fax:
Organization Subpart
Yes - DBA CLEVELAND COMPREHENSIVE TREATMENT CENTER is subpart of another organization.
Authorized Official
BRIAN FARLEY
VP & SECRETARY
Phone: (615) 861-6000
Updated
Certification Date
Oct 03, 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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1066.1
Content Type
CSV
Affiliation
Y
Endpoint Location
8215 W 108TH TER,
OVERLAND PARK, KS 77025-1669