COPAC ADDICTION SERVICES – NPI #1073679817
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
COPAC ADDICTION SERVICES is a substance abuse rehabilitation facility located in BRANDON, MS. NPPES has assigned the NPI number 1073679817 to COPAC ADDICTION SERVICES on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was previously updated about 3 years ago on Mar 07, 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 COPAC ADDICTION SERVICES below.
NPI Profile for
COPAC ADDICTION SERVICES
(more than 19 years ago)
BRANDON, MS 39047-7240 Phone: (601) 829-2500 Fax: (601) 829-4278
JACKSON, MS 39211-2831 Phone: (601) 956-0303 Fax:
FAMILY NURSE PRACTITIONER
Phone: (601) 829-2500
Identifiers for COPAC ADDICTION SERVICES
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | DEA NUMBER | MS | MJ1222063 |
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 |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
MS | R586986 |
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.