WATAUGA RECOVERY CENTER – NPI #1336483262
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

WATAUGA RECOVERY CENTER is a provider located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1336483262 to WATAUGA RECOVERY CENTER on November 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 WATAUGA RECOVERY CENTER below.

NPI Profile for
WATAUGA RECOVERY CENTER

NPI Number
1336483262
Enumeration Date

(more than 13 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
WATAUGA RECOVERY CENTER
Primary location
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Phone: (423) 631-0432 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RALPH REACH
PRESIDENT
Phone: (423) 631-0432
Updated
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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
TN 41263

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.