SOUTHERN OHIO PREMIER RECOVERY, LLC – NPI #1427720275
Clinic/Center

SOUTHERN OHIO PREMIER RECOVERY, LLC is an AHC clinic located in MCDERMOTT, OH. NPPES has assigned the NPI number 1427720275 to SOUTHERN OHIO PREMIER RECOVERY, LLC on September 30, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 2 years ago on Mar 08, 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 SOUTHERN OHIO PREMIER RECOVERY, LLC below.

NPI Profile for
SOUTHERN OHIO PREMIER RECOVERY, LLC

NPI Number
1427720275
Enumeration Date

(more than 4 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
SOUTHERN OHIO PREMIER RECOVERY, LLC
Primary location
6431 STATE ROUTE 104
MCDERMOTT, OH 45652
Phone: (740) 981-6987 Fax:
Mailing address
6587 STATE ROUTE 104
MC DERMOTT, OH 45652-8943
Phone: (740) 981-6987 Fax:
Organization Subpart
No
Authorized Official
FAITH BIVENS
OWNER
Phone: (740) 981-6987
Updated
Certification Date
Mar 08, 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
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (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.